Active NPI
Timothy N Baker, PA-C
- Physician Assistant
- Utica, NY
National Provider Identifier
1356826598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1651 Oneida St
Utica, NY 13501-4866 - Phone
- (315) 793-7600
- NPI assigned
- Oct 2, 2018
- Last updated
- Nov 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Medical Physician Assistant | 363AM0700X | NU |
Addresses
Primary practice location
1651 Oneida St
Utica, NY 13501-4866
Mailing address
1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05429507 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hospital Way
Pocatello, ID 83201-5175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Hospital LLC | Current | Accepting new patients |
Locations
777 Hospital Way
Ste 101
Pocatello, ID 83201
Phone (208) 234-2001
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
Interoperability endpoints
- tbaker1120983@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Clinic/Center
- New Hartford, NY
- NPI 1285625996
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Montpelier, ID
- NPI 1336125533
-
dba Caribou Medical Center
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
-
- Critical Access Hospital
- American Falls, ID
- NPI 1609874932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1356826598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131001",
"telephone_number": "315-798-1508",
"fax_number": "315-798-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 ONEIDA ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135014866",
"telephone_number": "315-793-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "TIMOTHY",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05429507",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.