Individual provider Active NPI

Randal S Baker, MD

  • Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1578558672
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22567 Issued in OK
Practice address
4140 W Memorial Rd Ste 621
Oklahoma City, OK 73120-8365
Phone
(405) 749-4231
Fax
(405) 749-4234
NPI assigned
Sep 14, 2005
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22567 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd Ste 621
Oklahoma City, OK 73120-8365

Mailing address

4140 W Memorial Rd Ste 621
Oklahoma City, OK 73120-8365
Phone (405) 749-4231

Other identifiers 1

IdentifierTypeStateIssuer
200058330AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20041007000350 OK Practitioner - General Surgery 8123087913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

4140 W Memorial Rd
Suite 621
Oklahoma City, OK 73120-8365
Phone (405) 749-4231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)38
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Kingfisher, Inc CurrentSince Jun 5, 2017 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jun 5, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Oklahoma Oncology & Hematology PC Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Surgery Past Accepting new patients
Oklahoma Oncology and Hematology, P.C. Past Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4140 W Memorial Rd
Ste 621
Oklahoma City, OK 73120
Phone (405) 749-4224

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • Direct secure messaging: randal.baker.p1@direct.smc.nextgenshare.com
  • Direct secure messaging: rbaker806032@directc.mercy.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1578558672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 621",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208365",
            "telephone_number": "405-749-4231",
            "fax_number": "405-749-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 621",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208365",
            "telephone_number": "405-749-4231",
            "fax_number": "405-749-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RANDAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "22567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.