Individual provider Active NPI

Stephen Baad, M.D.

  • Internal Medicine Physician
  • South Burlington, VT
National Provider Identifier
1629027271
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
420010723 Issued in VT
Practice address
386 Dorset St
Suite 1
South Burlington, VT 05403-6212
Phone
(802) 860-1441
Fax
(802) 860-4646
NPI assigned
May 10, 2006
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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 420010723 VT Primary

Addresses

Primary practice location

386 Dorset St
Suite 1
South Burlington, VT 05403-6212

Mailing address

386 Dorset St
Suite 1
South Burlington, VT 05403-6212
Phone (802) 860-1441

Other identifiers 2

IdentifierTypeStateIssuer
1010550MedicaidVT
P00140735OtherVTRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20040720000713 VT Practitioner - Internal Medicine 8224017405 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
420010723VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Mountain Internal Medicine PLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

550 Hinesburg Rd
Ste 201
South Burlington, VT 05403
Phone (802) 864-0677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1629027271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 DORSET ST",
            "address_2": "SUITE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036212",
            "telephone_number": "802-860-1441",
            "fax_number": "802-860-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 DORSET ST",
            "address_2": "SUITE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036212",
            "telephone_number": "802-860-1441",
            "fax_number": "802-860-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAD",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "420010723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010550",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00140735",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.