NPIMap

Individual provider Active NPI

Mirza Basit Baig, MD

  • Gastroenterology Physician
  • Warren, MN
National Provider Identifier
1265404073
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
42393 Issued in MN
Practice address
300 W Good Samaritan Dr
Warren, MN 56762-1412
Phone
(218) 745-4211
Fax
(218) 745-3254
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 42393 MN Primary

Addresses

Primary practice location

300 W Good Samaritan Dr
Warren, MN 56762-1412

Mailing address

300 W Good Samaritan Dr
Warren, MN 56762-1412
Phone (218) 745-4211

Other practice location 1

115 Vivian St W
Park River, ND 58270-4540
Phone (701) 284-7500

Other identifiers 1

IdentifierTypeStateIssuer
960827300MedicaidMN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbaig5095@direct.directaltru.org Direct
Direct Messaging Address mbaig5095@direct.directaltru.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040225000976 MN Practitioner - Internal MedicinePractitioner - Gastroenterology 6709772833 Reassigns benefits to 1 organization
I20060330000342 ND Practitioner - Internal MedicinePractitioner - Gastroenterology 6709772833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P R Health CorporationGroup PAC ID 0840102760, 8 clinicians
Warren Community Hospital IncGroup PAC ID 2264408566, 30 clinicians

Practice addresses (Care Compare)

115 Vivian St W
Park River, ND 58270-4540
Phone (701) 284-7500

300 W Good Samaritan Dr
Warren, MN 56762-1412
Phone (218) 745-4211

Hospital & facility affiliations

  • First Care Health Center Hospital, Park River, ND, CCN 351326
  • North Valley Health Center Hospital, Warren, MN, CCN 241337
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • Riverview Hospital Hospital, Crookston, MN, CCN 241320
  • Sanford Thief River Falls Medical Center Hospital, Thief River Falls, MN, CCN 241381

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Jul 8, 2020 Accepting new patients
P R Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
Altru Health System Past Accepting new patients
Altru Health System Past Accepting new patients
Warren Community Hospital, Inc. Past Accepting new patients

Locations

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

Interoperability endpoints

  • Direct secure messaging: mbaig5095@direct.directaltru.org

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1265404073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W GOOD SAMARITAN DR",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621412",
            "telephone_number": "218-745-4211",
            "fax_number": "218-745-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W GOOD SAMARITAN DR",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621412",
            "telephone_number": "218-745-4211",
            "fax_number": "218-745-3254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Vivian St W",
            "address_purpose": "LOCATION",
            "city": "Park River",
            "state": "ND",
            "postal_code": "582704540",
            "country_code": "US",
            "telephone_number": "701-284-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MIRZA",
        "middle_name": "BASIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-11-04",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "42393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960827300",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaig5095@direct.directaltru.org",
            "affiliation": "N",
            "endpointDescription": "First Care Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "115 Vivian St W",
            "city": "Park River",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582704540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaig5095@direct.directaltru.org",
            "affiliation": "N",
            "endpointDescription": "North Valley Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 W Good Samaritan Dr",
            "city": "Warren",
            "state": "MN",
            "country_code": "US",
            "postal_code": "567621412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MN

Sources for this page

Verify at the official NPI Registry.