NPIMap

Individual provider Active NPI

Dustin Lee Baylor, M.D.

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1376746925
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24652 Issued in OK
Practice address
2821 N Van Buren
Suite B
Enid, OK 73701-7273
Phone
(580) 977-1834
Fax
(580) 977-1806
NPI assigned
Jun 8, 2007
Last updated
Feb 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24652 OK Primary

Addresses

Primary practice location

2821 N Van Buren
Suite B
Enid, OK 73701-7273

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (580) 977-1834

Other practice location 1

2821 N Van Buren
Suite B
Enid, OK 73701-7273
Phone (580) 977-1834

Other practice location 2

2821 N Van Buren
Suite B
Enid, OK 73701-7273
Phone (580) 977-1834

Other identifiers 1

IdentifierTypeStateIssuer
200194480AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000285 OK Practitioner - Family Practice 5597826214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

2821 N Van Buren St B
Integris Dustin Baylor MD Clin
Enid, OK 73703-1729
Phone (580) 977-1834

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24652OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Family Medicine Current Accepting new patients
Integris Bass Baptist Health Center CurrentSince Apr 1, 2021 Accepting new patients
Integris Bass Baptist Health Center CurrentSince Apr 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2821 N Van Buren St
Ste B
Enid, OK 73703
Phone (580) 213-9794

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

620 S Madison St
Ste 209
North Enid, OK 73701
Phone (580) 233-5553

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • Direct secure messaging: dbaylor8181@direct.integrisok.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Hospice Care of Oklahoma CityOklahoma City, OK, CCN 371654 Hospice Contracted Managing Employee May 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 12

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1376746925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-977-1834",
            "fax_number": "580-977-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N VAN BUREN",
            "address_2": "SUITE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017273",
            "telephone_number": "580-977-1834",
            "fax_number": "580-977-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 N Van Buren",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017273",
            "country_code": "US",
            "telephone_number": "580-977-1834",
            "fax_number": "580-977-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2821 N Van Buren",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017273",
            "country_code": "US",
            "telephone_number": "580-977-1834",
            "fax_number": "580-977-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLOR",
        "first_name": "DUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200194480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.