Individual provider Active NPI

Jose R Baez, DO

  • Internal Medicine Physician
  • Lawrence, MA
National Provider Identifier
1336103233
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216181 Issued in MA
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

Updated by the provider on Sep 8, 2014

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 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

IdentifierTypeStateIssuer
2064120MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000364 MA Practitioner - Internal Medicine 4587634506 Reassigns benefits to 1 organization

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
Health Quality IncGroup PAC ID 6204112139, 2 clinicians

Practice addresses (Care Compare)

290 Merrimack St
Suite 205
Lawrence, MA 01843-1783
Phone (978) 655-5349

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216181MAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Physician Associates, Inc Internal Medicine Past Accepting new patients
Lawrence General Hospital PastSince Mar 1, 2017 Accepting new patients
Winchester Physician Associates Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.