Baker Street Medical Group (de), P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BAKER STREET MEDICAL GROUP (DE), P.A.

Practice address

8951 Cypress Waters Blvd
Ste 160-1045
Dallas, TX 75019

Phone

(301) 706-4461

NPI assigned

Jan 27, 2022

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alex Mohseni, MD

Title

President

Phone

(301) 706-4461

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1336892637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD",
            "address_2": "STE 160-1045",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "301-706-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD",
            "address_2": "STE 160-1045",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "301-706-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER STREET MEDICAL GROUP (DE), P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-706-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puneet Bajaj, M.D.
• Kelsi Dawn Bakalyar, CRNA
• Patrick Bakare
• Baker Family Services
• Baker O & P Enterprises, Inc.
• Ladraya Triniti Baker-Sullivan
• Amber Baker, LCSW
• Andrea Baker, LMSW
• Angie Myrtlene Baker, ED.D.
• Arin Wise Baker, LPC

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.