Active NPI
Husam Baki, M.D.
- Internal Medicine Physician
- La Porte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01056375A
- Practice address
- 1331 State St
La Porte, IN 46350-3112 - Phone
- (219) 326-1234
- NPI assigned
- Nov 29, 2007
- Last updated
- Oct 30, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01056375A | IN | Primary |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 01056375A | IN |
Addresses
Primary practice location
1331 State St
La Porte, IN 46350-3112
Mailing address
50925 Safari Dr
Granger, IN 46530-6737
Phone (312) 451-4630
Other practice location 1
50925 Safari Dr
Granger, IN 46530-6737
Phone (312) 451-4630
Other practice location 2
102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200383950 | Medicaid | IN | |
| 000000940640 | Other | IN | BCBS |
Other names 1
- Dr. Husam Abdulbaki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 E Culver Rd
Northwest Starke
Knox, IN 46534-2216
Phone (574) 772-6231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056375A | IN | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospitalist Physicians, LLP | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current | Accepting new patients |
| Northwest Hospitalist Physicians LLP | Current | Accepting new patients | |
| Aims, LLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Theoria Medical | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Asthma Allergy Care Centers PC | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Internal Medicine | Past | Accepting new patients |
| Alegent Creighton Clinic | Past | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
1625 E Jefferson Blvd
Mishawaka, IN 46545
Phone (219) 257-2295
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
1211 Stateline Rd
Niles, MI 49120
Phone (269) 684-2810
Organizations & group practices 12
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.
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Internal Medicine
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1023448321
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Hospitalist Physician
- La Porte, IN
- NPI 1326415423
-
dba Sound Physicinas of Indiana
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Internal Medicine
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Internal Medicine
-
- Allergy Physician
- Battle Creek, MI
- NPI 1003868233
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1316129695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50925 SAFARI DR",
"city": "GRANGER",
"state": "IN",
"postal_code": "465306737",
"telephone_number": "312-451-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 STATE ST",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503112",
"telephone_number": "219-326-1234"
}
],
"practiceLocations": [
{
"address_1": "50925 Safari Dr",
"address_purpose": "LOCATION",
"city": "Granger",
"state": "IN",
"postal_code": "465306737",
"country_code": "US",
"telephone_number": "312-451-4630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 E Culver Rd",
"address_purpose": "LOCATION",
"city": "Knox",
"state": "IN",
"postal_code": "465342216",
"country_code": "US",
"telephone_number": "574-772-6321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKI",
"first_name": "HUSAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2024-10-30",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01056375A",
"primary": true
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "IN",
"license": "01056375A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200383950",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000940640",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HUSAM",
"last_name": "ABDULBAKI",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.