Individual provider Active NPI

Jeffrey Travis Baker Jr., D.O.

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1528487808
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS12833 Issued in FL
Practice address
959 West Ave Ste 17
Miami Beach, FL 33139-5214
Phone
(786) 490-6200
Fax
(954) 634-4293
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS12833 FL Primary

Addresses

Primary practice location

959 West Ave Ste 17
Miami Beach, FL 33139-5214

Mailing address

18473 SW 89TH PL
Miami, FL 33157-7162
Phone (786) 490-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000607 FL Practitioner - Family Practice 9032420864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
South Psychological and Physical Rehabilitation, IncGroup PAC ID 0143345595, 2 clinicians

Practice addresses (Care Compare)

1408 NE 1St Ave
Homestead, FL 33030-4535
Phone (305) 242-1399

162 NE 25TH St
Suite 103
Miami, FL 33137-4852
Phone (786) 490-6200

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaplan Chiropractic PA CurrentSince Feb 26, 2023 Accepting new patients
South Psychological & Physical Rehabilitation, Inc Family Medicine CurrentSince Feb 16, 2016 Accepting new patients
Jeffrey Feiler DC. PA. CurrentSince Mar 7, 2016 Accepting new patients
Baker Medical LLC Family Medicine CurrentSince Jul 25, 2019 Accepting new patients
South Psychological & Physical Rehabilitation,Inc Family Medicine Past Accepting new patients

Locations

9770 W Sample Rd
Coral Springs, FL 33065
Phone (954) 753-3992

6067 Hollywood Blvd
Ste 303
Hollywood, FL 33024

1408 NE 1st Ave
Homestead, FL 33030
Phone (305) 242-1399

162 NE 25th St
Ste 103
Miami, FL 33137
Phone (305) 735-8901

959 West Ave
Ste 17
Miami Beach, FL 33139
Phone (305) 507-5220

Organizations & group practices 5

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1528487808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18473 SW 89TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331577162",
            "telephone_number": "786-490-3004",
            "fax_number": "954-634-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 WEST AVE STE 17",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395214",
            "telephone_number": "786-490-6200",
            "fax_number": "954-634-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEFFREY",
        "middle_name": "TRAVIS",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.