Active NPI
Jose R Baez, DO
- Internal Medicine Physician
- Lawrence, MA
National Provider Identifier
1336103233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216181
- Practice address
- 25 Marston St
Suite 105
Lawrence, MA 01841-2310 - Phone
- (978) 258-1057
- Fax
- (978) 258-1520
- NPI assigned
- Apr 17, 2006
- 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 | 216181 | MA | Primary |
| Hospitalist Physician | 208M00000X | 216181 | MA |
Addresses
Primary practice location
25 Marston St
Suite 105
Lawrence, MA 01841-2310
Mailing address
865 Great Pond Rd
North Andover, MA 01845-2035
Phone (978) 387-1375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2064120 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rowan University School of Osteopathic Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
290 Merrimack St
Suite 205
Lawrence, MA 01843-1783
Phone (978) 655-5349
Hospital & facility affiliations
- Amedisys Home Health Care
- Merrimack Health Lawrence Hospital
- Holy Family Hospital
- Lahey Hospital & Medical Center, Burlington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216181 | MA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Physician Associates, Inc | Internal Medicine | Past | Accepting new patients |
| Lawrence General Hospital | Past | Accepting new patients | |
| Winchester Physician Associates | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- jose.baez.1@15796.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Health Service Clinic/Center
- North Andover, MA
- NPI 1306384672
-
- Anesthesiologist Assistant
- Lawrence, MA
- NPI 1477790152
-
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- Home Health Agency
- Wakefield, MA
- NPI 1407800584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1336103233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 GREAT POND RD",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018452035",
"telephone_number": "978-387-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MARSTON ST",
"address_2": "SUITE 105",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412310",
"telephone_number": "978-258-1057",
"fax_number": "978-258-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ",
"first_name": "JOSE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "216181",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "216181",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2064120",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.