Individual provider Active NPI

Eric Bret Baud, M.D.

  • Dermatology Physician
  • Cleveland Heights, OH
National Provider Identifier
1265431654
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35065990 Issued in OH
Practice address
5 Severance Cir
Suite 205
Cleveland Heights, OH 44118-1566
Phone
(216) 382-7072
Fax
(216) 691-3944
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35065990 OH Primary

Addresses

Primary practice location

5 Severance Cir
Suite 205
Cleveland Heights, OH 44118-1566

Mailing address

2248 Coventry Rd
Cleveland Heights, OH 44118-3547

Other identifiers 2

IdentifierTypeStateIssuer
070011004OtherOHMEDICARE RAILROAD
0281501MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040426000842 OH Practitioner - Dermatology 7315934106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Dermatology Group LLCGroup PAC ID 0446579833, 3 clinicians

Practice addresses (Care Compare)

2001 Crocker Rd
Suite 500
Westlake, OH 44145-6967
Phone (440) 617-1522

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1518
Skin biopsy193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065990OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Dermatology Group LLC Dermatology CurrentSince Apr 1, 2015 Accepting new patients

Locations

5 Severance Cir
Ste 205
Cleveland Heights, OH 44118
Phone (216) 381-2741

29001 Cedar Rd
Ste 305
Lyndhurst, OH 44124
Phone (440) 449-5100

2001 Crocker Rd
Ste 500
Westlake, OH 44145
Phone (440) 617-1522

Interoperability endpoints

  • Direct secure messaging: ebaud@direct.swgeneral.com
  • Direct secure messaging: ebaud37429@ehrdirect.uhhospitals.org

Organizations & group practices 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1265431654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 COVENTRY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "SUITE 205",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-382-7072",
            "fax_number": "216-691-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUD",
        "first_name": "ERIC",
        "middle_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35065990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "070011004",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.