Individual provider Active NPI

Andrew Thomas Baer, RDN

  • Registered Dietitian
  • Huntingdon Valley, PA
National Provider Identifier
1245816263
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
31619557 Issued in PA
Practice address
1810 County Line Rd
Huntingdon Valley, PA 19006-1720
Phone
(267) 885-7517
NPI assigned
Mar 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 31619557 PA Primary

Addresses

Primary practice location

1810 County Line Rd
Huntingdon Valley, PA 19006-1720

Mailing address

2184 Palomino Dr
Warrington, PA 18976-2170
Phone (267) 885-7517

Other practice location 1

2184 Palomino Dr
Warrington, PA 18976-2170
Phone (267) 885-7517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000317 PA Practitioner - Registered Dietitian Or Nutrition Professional 6103210182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 County Line Rd
Huntingdon Valley, PA 19006-1720
Phone (267) 885-7517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31619557PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Baer Health Dietitian, Registered CurrentSince Oct 26, 2021 Accepting new patients
Nutralign LLC Dietitian, Registered Past Accepting new patients

Locations

1810 County Line Rd
Huntingdon Valley, PA 19006
Phone (215) 517-7777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1245816263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 PALOMINO DR",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762170",
            "telephone_number": "267-885-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061720",
            "telephone_number": "267-885-7517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2184 Palomino Dr",
            "address_purpose": "LOCATION",
            "city": "Warrington",
            "state": "PA",
            "postal_code": "189762170",
            "country_code": "US",
            "telephone_number": "267-885-7517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAER",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "31619557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.