Active NPI
Terry Baker, MD
- Otolaryngology Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- M8221
- Practice address
- 3200 Channing Way
A-105
Idaho Falls, ID 83404-7546 - Phone
- (208) 552-9530
- Fax
- (208) 522-6262
- NPI assigned
- Jun 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M8221 | ID | Primary |
Addresses
Primary practice location
3200 Channing Way
A-105
Idaho Falls, ID 83404-7546
Mailing address
3200 Channing Way
A-105
Idaho Falls, ID 83404-7546
Phone (208) 552-9530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805984700 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Medical School at San Antonio, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
Hospital & facility affiliations
- Mountain View Hospital
- Eastern Idaho Regional Medical Center
- Idaho Falls Community Hospital, LLC
- Steele Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8221 | ID | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Terry Baker, M.D.P.a. | Otolaryngology | Current | Accepting new patients |
| Mountain View Hospital Physician Organization | Past | Accepting new patients |
Locations
3945 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 522-1764
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3200 Channing Way
Ste A105
Idaho Falls, ID 83404
Phone (208) 552-9530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Otolaryngology Physician
- Idaho Falls, ID
- NPI 1649305186
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1568406148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY",
"address_2": "A-105",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-552-9530",
"fax_number": "208-522-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY",
"address_2": "A-105",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-552-9530",
"fax_number": "208-522-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ID",
"license": "M8221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805984700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.