NPIMap

Individual provider Active NPI

Rauf Baba, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Dyersburg, TN
National Provider Identifier
1689677296
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
36364 Issued in TN
Practice address
1716 Parr Ave Ste F
Dyersburg, TN 38024
Phone
(731) 288-3368
NPI assigned
May 27, 2005
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36364 TN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 36364 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050108000052 TN Practitioner - Endocrinology 9537117338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

72 Physicians Dr
Jackson, TN 38305-2070
Phone (731) 660-6395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36364TNMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
WT Medical Associates CurrentSince Jun 1, 2018 Accepting new patients
First Choice Medical Care PLLC Internal Medicine PastSince Sep 20, 2024 Accepting new patients
Independent Radiology Associates PLC Past Accepting new patients

Locations

1716 Parr Ave
Ste F
Dyersburg, TN 38024
Phone (731) 285-1933

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

503 E Tickle St
Ste A
Dyersburg, TN 38024
Phone (731) 285-5244

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

72 Physicians Dr
Jackson, TN 38305
Phone (731) 660-6395

117 N Main St
Ridgely, TN 38080
Phone (731) 264-5555

Interoperability endpoints

  • Direct secure messaging: rbaba17942@directepic.wth.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 5

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1689677296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE STE F",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242074",
            "telephone_number": "731-285-1933",
            "fax_number": "731-285-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE STE F",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-288-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABA",
        "first_name": "RAUF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36364",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "36364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.