Michael John Baba, .D.O.
Individual provider Active NPI Family Medicine Physician · Wind Gap, PA
NPI 1356570428 · NPPES record last updated Apr 7, 2016
Key facts
- NPI
- 1356570428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS017181 (PA)
- Practice address
- 487 E Moorestown Rd
Suite #101
Wind Gap, PA 18091-9662 - Phone
- (484) 526-7888
- Fax
- (484) 526-6998
- NPI assigned
- Jul 9, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
1411 Jacobsburg Rd
Wind Gap, PA 18091-9788
Phone (610) 402-6555
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
- Lehigh Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.09 of 100
- Quality
- 74.47
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 74.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141031000776 | PA | Practitioner - Family Practice | 7810153061 | Reassigns benefits to 3 organizations |
| I20220506000952 | NJ | Practitioner - Family Practice | 7810153061 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017181 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Family Medicine | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Family Medicine | Current |
Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Current |
Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke'S Physician Group Inc. | Current |
Accepting new patients | |
| Family Care Centers Inc | Family Medicine | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Family Care Centers Inc. | Family Medicine | Current |
Accepting new patients |
| St. Luke'S Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Current |
Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500
4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970
2020 Sullivan Trl
Unit 2
Easton, PA 18040
Phone (484) 373-3031
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
292 Frantz Rd
Stroudsburg, PA 18360
Phone (570) 424-7390
487 E Moorestown Rd
Ste 101
Wind Gap, PA 18091
Phone (484) 526-7888
1411 Jacobsburg Rd
Wind Gap, PA 18091
Phone (484) 861-0493
Interoperability endpoints
- mbaba14026@direct2.lvhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS017181 | PA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 259515 | NY |
Addresses
Primary practice location
487 E Moorestown Rd
Suite #101
Wind Gap, PA 18091-9662
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-7888
Other providers in Wind Gap, PA
- A Pathway to Healing Counseling Services LLC
- Al & SP Wind Gap LLC
- Alan H Kunkel Jr DC PC
- Omosede Attoh
- Matthew Robert Baccarella
- Isaac Bachert
- Kalynn Bachman
- Frank M Bardani Jr.
- Bio-Medical Applications of Pennsylvania, Inc.
All providers in Wind Gap, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.