Individual provider Active NPI

Travis Baker, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1407296627
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4201 Ed Bluestein Blvd # S2505
Austin, TX 78721-2909
Phone
(737) 990-6861
NPI assigned
Jul 2, 2013
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

4201 Ed Bluestein Blvd # S2505
Austin, TX 78721-2909

Mailing address

5204 Old Manor Rd
Austin, TX 78723-4528
Phone (512) 585-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140321001073 TX Practitioner - Physician Assistant 4880825579 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Critical Care Medicine Services of Texas PLLCGroup PAC ID 1153681796, 74 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-6000

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1017

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

7900 FM
Suite 1826
Austin, TX 78737-1407
Phone (512) 324-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 20, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 20, 2014 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

Interoperability endpoints

  • Direct secure messaging: travis.baker.1@12704.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1407296627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 OLD MANOR RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234528",
            "telephone_number": "512-585-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ED BLUESTEIN BLVD # S2505",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212909",
            "telephone_number": "737-990-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TRAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.