Individual provider Active NPI

Shawn B Baca, MD

  • Rheumatology Physician
  • Delray Beach, FL
National Provider Identifier
1649373523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 53832 Issued in FL
Practice address
5162 Linton Blvd
Suite 101
Delray Beach, FL 33484-6567
Phone
(561) 498-1114
Fax
(561) 498-8338
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME 53832 FL Primary

Addresses

Primary practice location

5162 Linton Blvd
Suite 101
Delray Beach, FL 33484-6567

Mailing address

1050 NW 15TH St
Suite 208a
Boca Raton, FL 33486-1375
Phone (561) 368-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040407000165 FL Practitioner - Rheumatology 9638162415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of New Mexico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Pardo Forstot Baca and Alboukrek PAGroup PAC ID 0042203895, 6 clinicians

Practice addresses (Care Compare)

13550 S Jog Rd
100 Cora Physical Therapy W Delray Beac
Delray Beach, FL 33446-3808
Phone (561) 496-5144

5162 Linton Blvd
Suite 101
Delray Beach, FL 33484-6567
Phone (561) 498-1114

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.47 of 100Reported as group
Quality
63.3
Promoting interoperability
96
Improvement activities
40
Cost
78.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 53832FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pardo Forstot Baca & Alboukrek PA Rheumatology CurrentSince Dec 1, 2003 Accepting new patients
Pardo, Forstot, Baca, Alboukrek, P.a. Rheumatology Past Accepting new patients

Locations

1050 NW 15th St
Ste 208A
Boca Raton, FL 33486
Phone (561) 368-2125

5162 Linton Blvd
Ste 101
Delray Beach, FL 33484
Phone (561) 368-9776

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

Hospital & facility affiliations 7

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649373523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 208A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-368-5611",
            "fax_number": "561-368-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD",
            "address_2": "SUITE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-498-1114",
            "fax_number": "561-498-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "SHAWN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 53832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.