Active NPI
Benjamin Rosen Baumrind, M.D.
- Ophthalmology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 069539
- Practice address
- 1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154 - Phone
- (404) 512-1590
- NPI assigned
- Jun 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 069539 | GA | Primary |
Addresses
Primary practice location
1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154
Mailing address
1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154
Phone (404) 512-1590
Other practice location 1
1903 Phoenix Blvd Ste 100
Atlanta, GA 30349-5714
Phone (770) 996-6664
Other practice location 2
5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1718
Phone (404) 257-0814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003134697G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130625000755 | GA | Practitioner - Ophthalmology | 7517106479 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical College of Georgia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1425 Ellsworth Industrial Blvd NW
Atlanta, GA 30318-4154
Phone (404) 512-1590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baumrind Retina, LLC | Ophthalmology | Current | Accepting new patients |
Locations
1425 Ellsworth Industrial Blvd NW
Ste 36
Atlanta, GA 30318
Phone (404) 512-1590
Interoperability endpoints
- benjamin.baumrindmd.p1@direct.teg.nextgenshare.com
- bbaumrind@baumrind.intellechartdirect.net
- benjamin.baumrind.p41@direct.omnieyeatlanta.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1376771329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 ELLSWORTH INDUSTRIAL BLVD NW STE 36",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184154",
"telephone_number": "404-512-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 ELLSWORTH INDUSTRIAL BLVD NW STE 36",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184154",
"telephone_number": "404-512-1590"
}
],
"practiceLocations": [
{
"address_1": "1903 Phoenix Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303495714",
"country_code": "US",
"telephone_number": "770-996-6664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5505 Peachtree Dunwoody Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421718",
"country_code": "US",
"telephone_number": "404-257-0814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMRIND",
"first_name": "BENJAMIN",
"middle_name": "ROSEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "069539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003134697G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.