David Baldwin Jr., M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Michigan City, IN
NPI 1386601508 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1386601508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 01076580A (IN)
- Practice address
- 1225 E Coolspring Ave Ste 2C
Michigan City, IN 46360-6312 - Phone
- (219) 877-1298
- Fax
- (219) 877-1016
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Rush Medical College of Rush University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
1225 E Coolspring Ave
Suite 2 C
Michigan City, IN 46360-6312
Phone (219) 877-1298
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20170126002486 | IN | Practitioner - Endocrinology |
2163485038 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068790 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 01076580A | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
Interoperability endpoints
- dbaldwin243842@direct.franciscanalliance.org
- david.baldwin.1@3547.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036-068790 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01076580A | IN | Yes |
Addresses
Primary practice location
1225 E Coolspring Ave Ste 2C
Michigan City, IN 46360-6312
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1725 W Harrison St
Suite 250
Chicago, IL 60612-3841
Phone (312) 942-6163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300000058 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbaldwin243842@Direct.FranciscanAlliance.org | Direct |
Other providers in Michigan City, IN
- Matthew W. Baker
- Ryan Baker
- Wajeeh R Bakhsh
- Balanced Therapy and Wellness, Inc
- Daniel Baldwin
- Courtney Barber
- Cheryl Barnes
- Melissa Bartoszewicz
- Abul W Basher
- Michael Bassett
All providers in Michigan City, IN · Endocrinology, Diabetes & Metabolism Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. 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.