Konrad W Bakker, M.D.

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

DOO35322 Issued in MD

Practice address

172 Thomas Johnson Dr
Ste 100
Frederick, MD 21702-4405

Phone

(301) 694-0900

Fax

(301) 694-0657

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 16

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Neurology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: konrad.bakker.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, MD, Neurology

  Medicare reassignment Care Compare group NPD
• Comprehensive Neurology and Sleep Medicine, P.a.

  • Neurology Physician
  • Frederick, MD
  • NPI 1972509362

  MD, Neurology

  Medicare reassignment NPD
• Amber Hill Physical Therapy, Inc.

  • Physical Therapist
  • Frederick, MD
  • NPI 1548290224
  Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1316898299
  Care Compare group
• Privia Medical Group, LLC

  • Nephrology Physician
  • Rockville, MD
  • NPI 1851246722
  Care Compare group
• Privia Medical Group, LLC

  • Podiatrist
  • Falls Church, VA
  • NPI 1205787322
  Care Compare group
• Privia Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, VA
  • NPI 1558212449
  Care Compare group
• Privia Medical Group, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1700737699
  Care Compare group
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Greater Washington Sleep Disorders Centers

  • Sleep Disorder Diagnostic Clinic/Center
  • Rockville, MD
  • NPI 1699842609
  NPD (past)
• Bioserenity DT Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • North Olmsted, OH
  • NPI 1306857792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1346246782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 THOMAS JOHNSON DR",
            "address_2": "STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024405",
            "telephone_number": "301-694-0900",
            "fax_number": "301-694-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 THOMAS JOHNSON DR",
            "address_2": "STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024405",
            "telephone_number": "301-694-0900",
            "fax_number": "301-694-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "KONRAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0035322",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MD",
            "license": "DOO35322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0501704",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "237076",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMASI/MDIPA.OPT. CH. DME",
            "identifier": "372721",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/MC/EPO",
            "identifier": "4137502",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "495169",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "186224",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BC OF DC",
            "identifier": "5113",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526711100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/MDIPA/OPT. CHOICE",
            "identifier": "613465",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "ZC6139",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MD/VA",
            "identifier": "1306711010",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MD",
            "identifier": "KFE9CO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "237074",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3327089",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3473625",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "500310",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Baker
• Lauren Jordae Baker, DPT
• Morgan Kneib Baker
• Ryan Baker, PHARMD
• Zachary Daniel Baker, DPT
• Jacob Daniel Bal, SLP
• Temmi Bal
• Christina Balanc
• Sarah Balcom
• Jessica Marie Baldwin, OT-L

• All providers in Frederick, MD
• Sleep Medicine (Psychiatry & Neurology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.

Verify at the official NPI Registry.