Individual provider Active NPI

Caleb Roy Baker, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Longmont, CO
National Provider Identifier
1609190032
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
140 Issued in WY
Practice address
1351 Frontier Street
Longmont, CO 80501
Phone
(720) 552-6101
Fax
(720) 552-6102
NPI assigned
Mar 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000718 CO
Foot & Ankle Surgery Podiatrist 213ES0103X 140 WY Primary

Addresses

Primary practice location

1351 Frontier Street
Longmont, CO 80501

Mailing address

1351 Frontier Street
Longmont, CO 80501
Phone (720) 552-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120911000183 WY Practitioner - Podiatry 0143478511 Reassigns benefits to 1 organization
I20151023000274 CO Practitioner - Podiatry 0143478511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1351 Frontier St
Longmont, CO 80501-2434
Phone (720) 552-6101

204 McCollum St
Suite 105
Laramie, WY 82070-5151
Phone (307) 721-0022

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue777
Removal or shaving of skin growth571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Feet Podiatry, P.C. Foot & Ankle Surgery CurrentSince Dec 1, 2014 Accepting new patients
Happy Feet Podiatry, P.C. Foot & Ankle Surgery CurrentSince Aug 1, 2015 Accepting new patients

Locations

1055 17th Ave
Ste 201
Longmont, CO 80501
Phone (303) 772-0317

1351 Frontier St
Longmont, CO 80501
Phone (720) 270-8170

1303 E Grand Ave
Laramie, WY 82070
Phone (307) 721-0022

204 McCullum Dr
Ste 105
Laramie, WY 82070
Phone (307) 721-0022

204 McCullum Dr
Ste 201
Laramie, WY 82070
Phone (307) 721-0022

Organizations & group practices 2

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": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1609190032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 FRONTIER STREET",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "720-552-6101",
            "fax_number": "720-552-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 FRONTIER STREET",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "720-552-6101",
            "fax_number": "720-552-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CALEB",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000718",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.