Individual provider Active NPI

Benjamin Rosen Baumrind, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1376771329
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
069539 Issued in GA
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

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003134697GMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Baumrind Retina, LLC Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients

Locations

1425 Ellsworth Industrial Blvd NW
Ste 36
Atlanta, GA 30318
Phone (404) 512-1590

Interoperability endpoints

  • Direct secure messaging: benjamin.baumrindmd.p1@direct.teg.nextgenshare.com
  • Direct secure messaging: bbaumrind@baumrind.intellechartdirect.net
  • Direct secure messaging: 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

Verify at the official NPI Registry.