Active NPI
Dustin Baker, M.D.
- Surgery Physician
- Grosse Pointe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301506927
- Practice address
- 16815 E Jefferson Ave Ste 240
Grosse Pointe, MI 48230-1923 - Phone
- (313) 473-4690
- Fax
- (313) 473-4688
- NPI assigned
- Jun 4, 2014
- Last updated
- Jun 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301506927 | MI | Primary |
Addresses
Primary practice location
16815 E Jefferson Ave Ste 240
Grosse Pointe, MI 48230-1923
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
25000 Hall Rd Ste 300
Woodhaven, MI 48183-5112
Phone (734) 672-7758
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbaker4050872@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16815 E Jefferson Ave
240 Beaumont Surgical SVCS and Subspecial
Grosse Pointe, MI 48230-1923
Phone (313) 473-4690
19000 St Joes Pkwy
Livonia, MI 48152-1477
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2692
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301506927 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Olma Specialty 1 LLC | Surgery | Current | Accepting new patients |
| Iha Olma Specialty 1 LLC | Current | Accepting new patients |
Interoperability endpoints
- dbaker1224250@epic00.shdirect.org
- dbaker4050872@direct.beaumont.edu
Organizations & group practices 3
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.
-
dba IHA Obstetrics & Gynecology Livonia
- Obstetrics & Gynecology Physician
- Livonia, MI
- NPI 1891371118
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1255744546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 E JEFFERSON AVE STE 240",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301923",
"telephone_number": "313-473-4690",
"fax_number": "313-473-4688"
}
],
"practiceLocations": [
{
"address_1": "25000 Hall Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Woodhaven",
"state": "MI",
"postal_code": "481835112",
"country_code": "US",
"telephone_number": "734-672-7758",
"fax_number": "810-603-7466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301506927",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbaker4050872@direct.beaumont.edu",
"affiliation": "N",
"address_1": "16815 E Jefferson Ave Ste 240",
"city": "Grosse Pointe",
"state": "MI",
"country_code": "US",
"postal_code": "482301923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.