Individual provider Active NPI

Gregory J Baker, DO

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1497775522
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO1473 Issued in NV
Practice address
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone
(702) 853-3000
Fax
(702) 333-8466
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X TPOS607 FL
Neurology Physician 2084N0400X DO1473 NV Primary

Addresses

Primary practice location

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (775) 356-4067

Other identifiers 1

IdentifierTypeStateIssuer
1497775522MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, AZ, IN, MS, TN, MO, WV8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20090409000280 FL Practitioner - NeurologyPractitioner - Nephrology 0143320531 Reassigns benefits to 1 organization
I20090624000538 NV Practitioner - Neurology 0143320531 Reassigns benefits to 1 organization
I20140422002272 AZ Practitioner - NeurologyPractitioner - Psychiatry 0143320531 Reassigns benefits to 2 organizations
I20230829003799 IN Practitioner - Neurology 0143320531 Reassigns benefits to 1 organization
I20240201001458 MS Practitioner - Neurology 0143320531 Reassigns benefits to 1 organization
I20240201001992 TN Practitioner - Neurology 0143320531 Reassigns benefits to 1 organization
I20240418001264 MO Practitioner - Neurology 0143320531 Reassigns benefits to 1 organization
I20240621002283 WV Practitioner - Neurology 0143320531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Nuview Health Indiana PCGroup PAC ID 6103169966, 43 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (561) 299-3667

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (561) 299-3667

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (561) 299-3667

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (561) 299-3667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TPOS607FLMDNeurology Physician
DO1473NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Health Indiana PC CurrentSince May 13, 2023 Accepting new patients
Las Vegas Medical Group LLC CurrentSince Jul 1, 2020 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince Jul 24, 2023 Accepting new patients
Germin Clinical Neurology West Neurology PastSince Jul 9, 2012 Accepting new patients
Innotiv Germin Neurology PastSince Jul 9, 2012 Accepting new patients
West Florida Regional Medical Center Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

2345 E Prater Way
Ste 207
Sparks, NV 89434
Phone (775) 352-5301

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Interoperability endpoints

  • Direct secure messaging: gbaker219355@ummc.direct-ci.com

Organizations & group practices 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1497775522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-356-4067",
            "fax_number": "702-333-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181859",
            "telephone_number": "702-853-3000",
            "fax_number": "702-333-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "TPOS607",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO1473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497775522",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.