Active NPI
Douglas R. Baker, M.D.
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- L1799
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 321-0312
- Fax
- (817) 317-7033
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | L1799 | TX | |
| Diagnostic Ultrasound Physician | 2085U0001X | L1799 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | L1799 | TX | Primary |
Addresses
Primary practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Mailing address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427304-05 | Medicaid | TX | |
| 142730401 | Medicaid | TX | |
| 142730402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031211000728 | TX | Practitioner - Diagnostic Radiology | 8820994536 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1799 | TX | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Imaging of Grapevine/Colleyville, LLC | Current | Accepting new patients | |
| Preferred Imaging of Plano, LLC | Current | Accepting new patients | |
| Preferred Imaging of McKinney, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Irving LLC | Diagnostic Radiology | Current | Accepting new patients |
| Round Rock Imaging LLC | Current | Accepting new patients | |
| Preferred Open MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Akumin Imaging Texas LLC | Current | Accepting new patients | |
| Preferred Imaging of Frisco, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Body Imaging | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Body Imaging | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Body Imaging, TX
-
- Radiology Clinic/Center
- El Paso, TX
- NPI 1235771205
-
- Radiology Clinic/Center
- Frisco, TX
- NPI 1881028397
Diagnostic Radiology
-
- Radiology Clinic/Center
- Grapevine, TX
- NPI 1518040369
-
- Radiology Clinic/Center
- Irving, TX
- NPI 1598215733
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- McKinney, TX
- NPI 1205180650
Diagnostic Radiology
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1861575615
-
- Diagnostic Ultrasound Physician
- Fort Worth, TX
- NPI 1841484508
Body Imaging
-
- Radiology Clinic/Center
- Round Rock, TX
- NPI 1093848699
-
- Physician Assistant
- Fort Worth, TX
- NPI 1578331393
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1326047713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-321-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-321-0312",
"fax_number": "817-317-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DOUGLAS",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "L1799",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": "L1799",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L1799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427304-05",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142730401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142730402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.