Individual provider Active NPI

Andrew Baldwin, M.D.

  • Ophthalmology Physician
  • Norfolk, NE
National Provider Identifier
1336551571
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30648 Issued in NE
Practice address
100 N 37TH St
Norfolk, NE 68701-3265
Phone
(402) 844-8097
Fax
(402) 844-8098
NPI assigned
May 22, 2014
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 30648 NE Primary

Addresses

Primary practice location

100 N 37TH St
Norfolk, NE 68701-3265

Mailing address

100 N 37TH St
Norfolk, NE 68701-3265
Phone (402) 844-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20180530002935 NE Practitioner - Ophthalmology 5698990315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

100 N 37TH St
FRPS Opthalmology
Norfolk, NE 68701-3265
Phone (402) 371-3671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery448

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30648NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Jul 13, 2020 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Jul 13, 2020 Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

100 N 37th St
Norfolk, NE 68701
Phone (402) 371-3671

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

Organizations & group practices 2

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1336551571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013265",
            "telephone_number": "402-844-8097",
            "fax_number": "402-844-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013265",
            "telephone_number": "402-844-8097",
            "fax_number": "402-844-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "30648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.