Active NPI
Christopher Lloyd Baumbach, M.D.
- Family Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1508090523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12713
- Practice address
- 2100 S Marion Rd
Sioux Falls, SD 57106-3646 - Phone
- (605) 322-1010
- Fax
- (605) 322-1011
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52933 | MN | |
| Family Medicine Physician | 207Q00000X | 12713 | SD | Primary |
Addresses
Primary practice location
2100 S Marion Rd
Sioux Falls, SD 57106-3646
Mailing address
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00860765 | Other | RAILROAD MEDICARE | |
| 01-42310 | Other | MEDICA | |
| 1508090523 | Medicaid | MN | |
| 1508090523 | Other | MN | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210804003032 | SD | Practitioner - Family Practice | 2264557388 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180
Hospital & facility affiliations
- Avera @ Home
- Aveanna Home Health
- Avera @ Home
- Avera McKennan Hospital & University Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52933 | MN | MD | Family Medicine Physician |
| 12713 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Family Medicine | Current | Accepting new patients |
Locations
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
2100 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 322-1010
Interoperability endpoints
- christopher.baumbach@avera.sdhealthlink.net
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sioux Falls, SD
- NPI 1649691320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1508090523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S 7TH AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050900",
"telephone_number": "605-336-2140",
"fax_number": "605-336-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S MARION RD",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571063646",
"telephone_number": "605-322-1010",
"fax_number": "605-322-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMBACH",
"first_name": "CHRISTOPHER",
"middle_name": "LLOYD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "52933",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "12713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00860765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-42310",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508090523",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1508090523",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "4190 Loberg Ave",
"city": "Hermantown",
"state": "MN",
"country_code": "US",
"postal_code": "558112652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.