Individual provider Active NPI

Ram Baboo, MBBS

  • Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1275198723
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13521380-1205 Issued in UT
Practice address
175 N Medical Dr RM 5001
Salt Lake City, UT 84112-1103
Phone
(801) 581-2121
NPI assigned
May 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13521380-1205 UT Primary
Clinical Neurophysiology Physician 2084N0600X 13521380-1205 UT

Addresses

Primary practice location

175 N Medical Dr RM 5001
Salt Lake City, UT 84112-1103

Mailing address

175 N Medical Dr RM 5001
Salt Lake City, UT 84112-1103
Phone (801) 581-2121

Other practice location 1

120 East 2nd Street UPMC Northshore Neurology
3rd Floor
Erie, PA 16507
Phone (814) 877-4178

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbaboo636774@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231101001898 UT Practitioner - Neurology 8426404104 Reassigns benefits to 1 organization
I20250227001888 WY Practitioner - Neurology 8426404104 Reassigns benefits to 2 organizations
I20250401000116 IN Practitioner - Neurology 8426404104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

801 Macarthur Blvd
Suite 404
Munster, IN 46321-2919
Phone (219) 836-2995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13521380-1205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Sep 19, 2023 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 20, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Sep 19, 2023 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 20, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Community Care Network Inc Neurology CurrentSince Apr 21, 2025 Accepting new patients

Locations

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

801 MacArthur Blvd
Ste 404
Munster, IN 46321
Phone (219) 836-2995

1545 W US Highway 30
Schererville, IN 46375
Phone (219) 703-2440

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

Interoperability endpoints

  • Direct secure messaging: rbaboo536945@ssdirect.comhs.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 6

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1275198723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DR RM 5001",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841121103",
            "telephone_number": "801-581-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DR RM 5001",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841121103",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 East 2nd Street UPMC Northshore Neurology",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "16507",
            "country_code": "US",
            "telephone_number": "814-877-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABOO",
        "first_name": "RAM",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "13521380-1205",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "UT",
            "license": "13521380-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbaboo636774@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.