Active NPI
Christian Baker, M.D.
- Family Medicine Physician
- Irmo, SC
National Provider Identifier
1629427422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39644
- Practice address
- 1079 Dutch Fork Rd
Irmo, SC 29063-8725 - Phone
- (803) 749-8900
- Fax
- (803) 749-8899
- NPI assigned
- Jun 13, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39644 | SC | Primary |
Addresses
Primary practice location
1079 Dutch Fork Rd
Irmo, SC 29063-8725
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 396440 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181005000959 | SC | Practitioner - Family Practice | 0345538351 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Family Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Family Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
1079 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 749-8900
Interoperability endpoints
- cbaker376821@direct.ghs.myhfn.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Family Medicine, SC
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1568959872
-
- Plastic and Reconstructive Surgery Physician
- Sumter, SC
- NPI 1447749510
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, SC
- NPI 1760430375
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- Home Health Agency
- Columbia, SC
- NPI 1760590954
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prisma Health Medical Group-Midlands
Practice addresses (Care Compare)
1079 Dutch Fork Rd
Irmo, SC 29063-8725
Phone (803) 749-8900
Hospital & facility affiliations
- Prisma Health Homecare
- Amedisys Home Health of Lexington
- Prisma Health Baptist Parkridge
- Prisma Health Richland Hospital
- Prisma Health Baptist
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1629427422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 DUTCH FORK RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290638725",
"telephone_number": "803-749-8900",
"fax_number": "803-749-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-13",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "39644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "396440",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.