NPIMap

Individual provider Active NPI

Kayeleigh Kelley Baskin, MD

  • Family Medicine Physician
  • Blanchard, OK
National Provider Identifier
1265889307
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32324 Issued in OK
Practice address
2002 N Council Ave
Blanchard, OK 73010-8038
Phone
(405) 485-4701
Fax
(405) 485-3747
NPI assigned
May 18, 2016
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32324 OK Primary

Addresses

Primary practice location

2002 N Council Ave
Blanchard, OK 73010-8038

Mailing address

2002 N Council Ave
Blanchard, OK 73010-8038
Phone (405) 485-4701

Other practice location 1

608 NW 9th St
Suite 1000
Oklahoma City, OK 73102-1068
Phone (405) 272-7494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915002253 OK Practitioner - Family Practice 4587938410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

6201 N Santa Fe
Suite 2010
Oklahoma City, OK 73118-7538
Phone (405) 272-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32324OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Family Medicine CurrentSince Jul 24, 2017 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 24, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

2002 N Council Ave
Blanchard, OK 73010
Phone (405) 485-4701

608 NW 9th St
Ste 1000
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

Interoperability endpoints

  • Direct secure messaging: kayeleigh.baskin.1@18359.direct.athenahealth.com
  • Direct secure messaging: kbaskin146709@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1265889307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108038",
            "telephone_number": "405-485-4701",
            "fax_number": "405-485-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108038",
            "telephone_number": "405-485-4701",
            "fax_number": "405-485-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 NW 9th St",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021068",
            "country_code": "US",
            "telephone_number": "405-272-7494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASKIN",
        "first_name": "KAYELEIGH",
        "middle_name": "KELLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, OK

Sources for this page

Verify at the official NPI Registry.