Individual provider Active NPI

Samantha Denise Baer, M.D.

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1215996285
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9900759 Issued in NC
Practice address
105 Ridge View Dr
Cary, NC 27511-2628
Phone
(919) 467-5543
Fax
(919) 469-2391
NPI assigned
Mar 20, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9900759 NC Primary

Addresses

Primary practice location

105 Ridge View Dr
Cary, NC 27511-2628

Mailing address

105 Ridge View Dr
Cary, NC 27511-2628
Phone (919) 467-5543

Other identifiers 1

IdentifierTypeStateIssuer
89131X2MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001134 NC Practitioner - Pediatric Medicine 5597081273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9900759NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Pediatric Center, P.a. CurrentSince Jan 1, 2015 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

105 Ridge View Dr
Cary, NC 27511
Phone (919) 467-5543

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1215996285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RIDGE VIEW DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112628",
            "telephone_number": "919-467-5543",
            "fax_number": "919-469-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RIDGE VIEW DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112628",
            "telephone_number": "919-467-5543",
            "fax_number": "919-469-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "SAMANTHA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9900759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131X2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.