Samuel Thomas Bauer, M.D.
Individual provider Active NPI Maternal & Fetal Medicine Physician · Beverly Hills, MI
NPI 1487779807 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1487779807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Maternal & Fetal Medicine Physician 207VM0101X
- License
- 4301081593 (MI)
- Practice address
- 17400 W 13 Mile Rd
Beverly Hills, MI 48025-5439 - Phone
- (248) 712-4120
- Fax
- (248) 792-5243
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaumont Medical Group- Specialty Services
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, MI, LA
- 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 |
|---|---|---|---|---|
| I20101027000754 | TX | Practitioner - Obstetrics/Gynecology |
6406040179 | Reassigns benefits to 1 organization |
| I20120622000134 | MI | Practitioner - Obstetrics/Gynecology | 6406040179 | Reassigns benefits to 1 organization |
| I20260612003603 | LA | Practitioner - Obstetrics/Gynecology | 6406040179 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243635 | NY | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Physician Practices, PLLC | Maternal & Fetal Medicine | Past | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients | |
| St. David'S Specialized Women'S Services, PLLC | Maternal & Fetal Medicine | Past |
Accepting new patients |
Interoperability endpoints
- sbauer55485@direct.beaumont.edu
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
- sbauer473518@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301081593 | MI | Yes |
| Maternal & Fetal Medicine Physician | 207VM0101X | 243635 | NY |
Addresses
Primary practice location
17400 W 13 Mile Rd
Beverly Hills, MI 48025-5439
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
44199 Dequindre Rd
Troy, MI 48085
Phone (248) 964-5129
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbauer55485@direct.beaumont.edu | Direct |
Other providers in Beverly Hills, MI
- Heather Asti
- Amy B Avena
- Mariam Kamel Ayyash
- Ray O Bahado-Singh
- Ajaz Ahamad Banka
- Mary Beth Bealmear
- Melyssa Beaumont
- Jamie Lynn Benoit
- Beverly Hills Opco LLC
- Birmingham Anesthesia Staffing Group LLC
All providers in Beverly Hills, MI · Maternal & Fetal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. 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.