Active NPI
Beau J Baum, MD
- Emergency Medicine Physician
- Nellis AFB, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01067251A
- Practice address
- 4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600 - Phone
- (702) 653-2344
- NPI assigned
- Jun 12, 2008
- Last updated
- Aug 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01067251A | IN | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 148511 | CA |
Addresses
Primary practice location
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Mailing address
48TH Medical Group Unit 5115
Apo, AE 09461-5115
Other practice location 1
UNLV Medicine
1707 W. Charleston Blvd, Ste 160
Las Vegas, NV 89102
Phone (702) 671-2201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067251A | IN | MD | Emergency Medicine Physician |
| 148511 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado, Inc | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Nevada Bessler PLLC | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Bedell Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
Organizations & group practices 7
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.
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- NPI 1952344293
-
- Emergency Medicine Physician
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- NPI 1760415871
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1124668884
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1720614217
-
- Emergency Medicine Physician
- Del Rio, TX
- NPI 1548272594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1285894204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "48TH MEDICAL GROUP UNIT 5115",
"city": "APO",
"state": "AE",
"postal_code": "094615115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 LAS VEGAS BLVD N",
"city": "NELLIS AFB",
"state": "NV",
"postal_code": "891916600",
"telephone_number": "702-653-2344"
}
],
"practiceLocations": [
{
"address_1": "UNLV Medicine",
"address_2": "1707 W. Charleston Blvd, Ste 160",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89102",
"country_code": "US",
"telephone_number": "702-671-2201",
"fax_number": "702-671-2245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUM",
"first_name": "BEAU",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2021-08-02",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01067251A",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "148511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nellis AFB, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.