Active NPI
Roy M. Bak, M.D.
- Anesthesiology Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A79654
- Practice address
- 101 W 8TH Ave
Spokane, WA 99204-2307 - Phone
- (509) 474-3181
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 100064 | AK | |
| Anesthesiology Physician | 207L00000X | A79654 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 4127-320 | WI | |
| Anesthesiology Physician | 207L00000X | MD61096343 | WA | |
| Anesthesiology Physician | 207L00000X | 036-167022 | IL |
Addresses
Primary practice location
101 W 8TH Ave
Spokane, WA 99204-2307
Mailing address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3181
Other practice location 1
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
Other practice location 2
3626 Ruffin Rd
San Diego, CA 92123-1810
Phone (858) 565-9666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A796540 | Medicaid | CA | |
| 00A796540 | Other | CA | BLUE SHIELD OF CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | rbak383524@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA, IL, WI, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-9454
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 299-9906
5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 482-0111
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000
9697 Saint Catherines Dr
Pleasant Prairie, WI 53158-2118
Phone (262) 653-5330
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Legacy Emanuel Medical Center
- Advocate Christ Hospital & Medical Center
- Spectrum Health
- Legacy Meridian Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100064 | AK | MD | Anesthesiology Physician |
| A79654 | CA | MD | Anesthesiology Physician |
| 036-167022 | IL | MD | Anesthesiology Physician |
| 4127-320 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of California, PC | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Anesthesiology | Current | Accepting new patients |
| Cypress Coast Anesthesia Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Oak Creek Anesthesia Services, Inc. | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group, PLLC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Oregon Anesthesiology Group PC | Anesthesiology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Palm Springs Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
2540 East St
Concord, CA 94520
Phone (925) 674-2228
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
707 SW Washington St
Ste 700
Portland, OR 97205
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
Interoperability endpoints
- rbak836055@direct.froedtert.com
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Anesthesiology Physician
- Pleasant Prairie, WI
- NPI 1821831975
-
- Anesthesiology Physician
- Spokane, WA
- NPI 1508118555
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Salinas, CA
- NPI 1992726855
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Anesthesiology Physician
- Visalia, CA
- NPI 1619589512
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
-
- Anesthesiology Physician
- San Ramon, CA
- NPI 1770691859
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1225046352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 8TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042307",
"telephone_number": "509-474-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 8TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042307",
"telephone_number": "509-474-3181"
}
],
"practiceLocations": [
{
"address_1": "1775 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681143",
"country_code": "US",
"telephone_number": "847-723-2210",
"fax_number": "847-723-3532",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3626 Ruffin Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231810",
"country_code": "US",
"telephone_number": "858-565-9666",
"fax_number": "858-565-9441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAK",
"first_name": "ROY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AK",
"license": "100064",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A79654",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "4127-320",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD61096343",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-167022",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A796540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00A796540",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbak383524@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.