Individual provider Active NPI

Mariah Haylee Tiller-Baker, DO

  • Family Medicine Physician
  • Brandenburg, KY
National Provider Identifier
1285212712
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05935 Issued in KY
Practice address
534 Hillcrest Dr
Brandenburg, KY 40108-1296
Phone
(270) 422-5000
Fax
(270) 422-5052
NPI assigned
Mar 29, 2021
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 05935 KY Primary

Addresses

Primary practice location

534 Hillcrest Dr
Brandenburg, KY 40108-1296

Mailing address

534 Hillcrest Dr
Brandenburg, KY 40108-1296
Phone (270) 422-5000

Other practice location 1

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

Other identifiers 1

IdentifierTypeStateIssuer
7100995410MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240903001155 KY Practitioner - Family Practice 0244632891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1111 Ring Rd
Elizabethtown, KY 42701-4900
Phone (270) 706-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 7, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 7, 2024 Accepting new patients

Locations

534 Hillcrest Dr
Brandenburg, KY 40108
Phone (270) 422-5000

96 Future Dr
Corbin, KY 40701

1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-1111

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1285212712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081296",
            "telephone_number": "270-422-5000",
            "fax_number": "270-422-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081296",
            "telephone_number": "270-422-5000",
            "fax_number": "270-422-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Roy Campbell Dr",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019407",
            "country_code": "US",
            "telephone_number": "606-439-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLER-BAKER",
        "first_name": "MARIAH",
        "middle_name": "HAYLEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100995410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.