Individual provider Active NPI

Husam Baki, M.D.

  • Internal Medicine Physician
  • La Porte, IN
National Provider Identifier
1316129695
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01056375A Issued in IN
Practice address
1331 State St
La Porte, IN 46350-3112
Phone
(219) 326-1234
NPI assigned
Nov 29, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200383950MedicaidIN
000000940640OtherINBCBS

Other names 1

  • Dr. Husam Abdulbaki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040324000428 IN Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3678464989 Reassigns benefits to 6 organizations
I20120207000834 MI Practitioner - Internal MedicinePractitioner - Allergy/Immunology 3678464989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

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

LicenseStateTypeSpecialty
01056375AINMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Jan 5, 2023 Accepting new patients
Northwest Hospitalist Physicians LLP CurrentSince Oct 10, 2017 Accepting new patients
Aims, LLC Internal Medicine CurrentSince Jan 16, 2019 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Sep 6, 2024 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Asthma Allergy Care Centers PC PastSince Jan 1, 2006 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.