Individual provider Active NPI

John Bauman, M.D.

  • Colon & Rectal Surgery Physician
  • Royal Oak, MI
National Provider Identifier
1609281690
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
4301119290 Issued in MI
Practice address
1121 Crooks Rd
Royal Oak, MI 48067-1382
Phone
(248) 541-8554
Fax
(217) 545-1793
NPI assigned
Jun 27, 2014
Last updated
Aug 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125.064980 IL
Colon & Rectal Surgery Physician 208C00000X 4301119290 MI Primary

Addresses

Primary practice location

1121 Crooks Rd
Royal Oak, MI 48067-1382

Mailing address

1121 Crooks Rd
Royal Oak, MI 48067-1382
Phone (248) 541-8554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200806003468 MI Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6709001647 Reassigns benefits to 2 organizations
Practice locations: Royal Oak, MI

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Southern Illinois University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Colon and Rectal Assoc P CGroup PAC ID 9830282953, 2 clinicians

Practice addresses (Care Compare)

1121 Crooks Rd
Royal Oak, MI 48067-1301
Phone (248) 541-7023

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center
Royal Oak, MI 48073-6710
Phone (248) 551-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.064980ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Colon & Rectal Assoc P C Colon & Rectal Surgery CurrentSince Sep 12, 2020 Accepting new patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Jan 1, 2021 Accepting new patients
Dr. John C Bauman MD Colon & Rectal Surgery PastSince Feb 24, 2024 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

1121 Crooks Rd
Royal Oak, MI 48067
Phone (248) 541-7023

3577 W 13 Mile Rd
Ste 202
Royal Oak, MI 48073
Phone (248) 551-0268

Interoperability endpoints

  • Direct secure messaging: jbauman1224836@epic00.shdirect.org

Organizations & group practices 4

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 3

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1609281690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671382",
            "telephone_number": "248-541-8554",
            "fax_number": "217-545-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671382",
            "telephone_number": "248-541-8554",
            "fax_number": "217-545-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.064980",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301119290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.