Rauf Baba, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Dyersburg, TN
NPI 1689677296 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1689677296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 36364 (TN)
- Practice address
- 1716 Parr Ave Ste F
Dyersburg, TN 38024 - Phone
- (731) 288-3368
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WT Medical Associates
Practice addresses (Care Compare)
72 Physicians Dr
Jackson, TN 38305-2070
Phone (731) 660-6395
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Dyersburg Regional Medical Center
- Volunteer Community Hospital
- West Tennessee Healthcare Henry County Hospital
- Baptist Memorial Hospital Union City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050108000052 | TN | Practitioner - Endocrinology | 9537117338 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36364 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Medical Associates | Current |
Accepting new patients | |
| WT Medical Associates | Internal Medicine | Current |
Accepting new patients |
| First Choice Medical Care PLLC | Internal Medicine | Past |
Accepting new patients |
| Independent Radiology Associates PLC | Past | Accepting new patients |
Locations
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
1716 Parr Ave
Ste F
Dyersburg, TN 38024
Phone (731) 285-1933
503 E Tickle St
Ste A
Dyersburg, TN 38024
Phone (731) 285-5244
72 Physicians Dr
Jackson, TN 38305
Phone (731) 660-6395
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
117 N Main St
Ridgely, TN 38080
Phone (731) 264-5555
Interoperability endpoints
- rbaba17942@directepic.wth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36364 | TN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 36364 | TN | Yes |
Addresses
Primary practice location
1716 Parr Ave Ste F
Dyersburg, TN 38024
Mailing address
1716 Parr Ave Ste F
Dyersburg, TN 38024-2074
Phone (731) 285-1933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3877194 | Medicaid | TN | |
| 4096582 | Other | TN | BCBS |
Other providers in Dyersburg, TN
- Tanveer Aslam
- Olusegun V Ategbole
- Atlas Emergency Physicians, PLLC
- Laurie Leigh Austin
- Melanie Brooke Austin
- William Anthony Bacigalupo
- Ashley Renee Baker
- Baptist Memorial Health Services Inc
- Barnett Restoration Company, Inc.
- Peyton Barnett
All providers in Dyersburg, TN · Endocrinology, Diabetes & Metabolism Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.