Active NPI
Kittredge Alexander Baldwin, D.O.
- Pulmonary Disease Physician
- Silverdale, WA
National Provider Identifier
1285683516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- OP00001740
- Practice address
- 2011 NW Myhre PL
Silverdale, WA 98383-8561 - Phone
- (360) 830-1706
- Fax
- (360) 830-1780
- NPI assigned
- May 5, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP00001740 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OP00001740 | WA | |
| Pulmonary Disease Physician | 207RP1001X | OP00001740 | WA | Primary |
Addresses
Primary practice location
2011 NW Myhre PL
Silverdale, WA 98383-8561
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 830-1706
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8297046 | Medicaid | WA | |
| 290014550 | Other | RAILROAD MEDICARE | |
| 158446 | Other | WA | LABOR & INDUSTRIES |
| 7352369 | Other | AETNA | |
| 9617BA | Other | REGENCE BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- College of Osteo Med of the Pacific at Pomona, 1996
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001740 | WA | MD | Internal Medicine Physician |
Interoperability endpoints
- kittredge.baldwin@tdc.directbygreenway.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285683516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502",
"telephone_number": "360-830-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 NW MYHRE PL",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838561",
"telephone_number": "360-830-1706",
"fax_number": "360-830-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "KITTREDGE",
"middle_name": "ALEXANDER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2023-03-07",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP00001740",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "OP00001740",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "OP00001740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8297046",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290014550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "158446",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7352369",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "9617BA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.