Individual provider Active NPI

Robert Baker, PAC

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1356337042
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001097 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 384-0520
Fax
(319) 384-0603
NPI assigned
Sep 27, 2005
Last updated
Jul 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001097 IA
Physician Assistant 363A00000X 001097 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-0520

Other identifiers 1

IdentifierTypeStateIssuer
970031154OtherIARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000698 IA Practitioner - Physician Assistant 8022197417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 467-8350

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

201 S Clinton St
168 Univ of Ia Health Care Quickcare
Iowa City, IA 52240-4034
Phone (319) 384-0520

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

411 10TH St SE
2300 Univ of Iowa Health Care Urgent Care C
Cedar Rapids, IA 52403-2467
Phone (319) 731-1430

720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797
Phone (319) 384-8801

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001097IAMDClinical Psychologist
01097IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Jul 1, 2009 Accepting new patients
State University of Iowa CurrentSince Jun 21, 2023 Accepting new patients
Keokuk County Health Center CurrentSince Jul 1, 2009 Accepting new patients
State University of Iowa CurrentSince Jun 21, 2023 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

865 Lincoln Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 344-2240

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

2705 E 53rd St
Davenport, IA 52807
Phone (563) 362-3052

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

3 Lions Dr
North Liberty, IA 52317
Phone (319) 626-5680

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

1314 S Stuart St
Sigourney, IA 52591
Phone (319) 337-7642

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
  • Direct secure messaging: rbaker54782@uihcdirect.org

Organizations & group practices 6

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 1

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1356337042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ROBERT",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001097",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970031154",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.