Individual provider Active NPI

Ekua Baidua Gilbert-Baffoe, MD

  • Physical Medicine & Rehabilitation Physician
  • Kankakee, IL
National Provider Identifier
1275952913
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036150698 Issued in IL
Practice address
375 N Wall St Ste P520
Kankakee, IL 60901-3493
Phone
(815) 932-6632
Fax
(815) 932-5760
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036150698 IL Primary

Addresses

Primary practice location

375 N Wall St Ste P520
Kankakee, IL 60901-3493

Mailing address

375 N Wall St Ste P520
Kankakee, IL 60901-3493
Phone (815) 932-6632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egilbertbaffoe28937@Direct.riversidehealthcare.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190926001793 IL Practitioner - Physical Medicine and Rehabilitation 1153669262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

Practice addresses (Care Compare)

375 N Wall St
P520
Kankakee, IL 60901-3493
Phone (815) 933-0194

Hospital & facility affiliations

  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Riverside Medical Center Inpatient rehabilitation facility, Kankakee, IL, CCN 14T186

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Sep 17, 2019 Accepting new patients
Riverside Health System CurrentSince Sep 17, 2019 Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

100 Riverside Dr
Bourbonnais, IL 60914
Phone (815) 802-7090

350 N Wall St
Ste P520
Kankakee, IL 60901

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

375 N Wall St
Ste P520
Kankakee, IL 60901
Phone (815) 933-0194

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: egilbertbaffoe28937@direct.riversidehealthcare.net

Organizations & group practices 2

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 1

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1275952913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST STE P520",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013493",
            "telephone_number": "815-932-6632",
            "fax_number": "815-932-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WALL ST STE P520",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013493",
            "telephone_number": "815-932-6632",
            "fax_number": "815-932-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT-BAFFOE",
        "first_name": "EKUA",
        "middle_name": "BAIDUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036150698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egilbertbaffoe28937@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Direct, Secure Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "375 N Wall St Ste P520",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609013493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.