Active NPI
John M. Baca, D.P.M.
- Podiatrist
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2232
- Practice address
- 6300 W Parker Rd Ste 425
Plano, TX 75093-8104 - Phone
- (972) 942-8080
- Fax
- (972) 759-9083
- NPI assigned
- Jul 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2232 | TX | |
| Podiatrist | 213E00000X | 2232 | TX | Primary |
Addresses
Primary practice location
6300 W Parker Rd Ste 425
Plano, TX 75093-8104
Mailing address
6300 W Parker Rd Ste 425
Plano, TX 75093-8104
Phone (972) 942-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3919854 | Medicaid | TX |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160808001707 | TX | Practitioner - Podiatry | 2769794965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6300 W Parker Rd
Suite 425
Plano, TX 75093-8104
Phone (972) 942-8080
Hospital & facility affiliations
- Medical City Plano
- Texas Health Presbyterian Hospital Plano
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 12 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Foot and Ankle LLC | Podiatrist | Current | Accepting new patients |
Locations
6300 W Parker Rd
Ste 425
Plano, TX 75093
Phone (817) 349-9122
6300 W Parker Rd
Ste 420
Plano, TX 75093
Phone (214) 361-0016
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BADICD/Endpoint/BADICD
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.
-
- Podiatrist
- Plano, TX
- NPI 1003467770
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
Hospital
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1487919288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 W PARKER RD STE 425",
"city": "PLANO",
"state": "TX",
"postal_code": "750938104",
"telephone_number": "972-942-8080",
"fax_number": "972-759-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 W PARKER RD STE 425",
"city": "PLANO",
"state": "TX",
"postal_code": "750938104",
"telephone_number": "972-942-8080",
"fax_number": "972-759-9083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-08",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2232",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "2232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3919854",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.