Individual provider Active NPI

Dustyn Baker, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1689821704
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116987 Issued in CA
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1447
Phone
(773) 702-1000
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 A116987 CA Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1447

Mailing address

155 Glasson Way
Grass Valley, CA 95945-5723
Phone (530) 274-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000405 CA Practitioner - HospitalistPractitioner - Internal Medicine 9133383839 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Duke University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

2700 Grant St
Suite 110
Concord, CA 94520-2268
Phone (925) 674-2500

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jun 18, 2016 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Jan 15, 2022 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
John Muir Physician Network CurrentSince Jan 10, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 21, 2021 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 21, 2021 Accepting new patients
Dignity Community Care Past Accepting new patients
Sutter Regional Medical Foundation Internal Medicine Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Dignity Health Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

6555 Coyle Ave
Ste 280
Carmichael, CA 95608
Phone (916) 536-3540

2700 Grant St
Ste 110
Concord, CA 94520
Phone (925) 674-2500

2700 Grant St
Ste 200
Concord, CA 94520
Phone (925) 674-2609

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

280 Sierra College Dr
Ste 120
Grass Valley, CA 95945
Phone (530) 477-4420

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

8120 Timberlake Way
Ste 107
Sacramento, CA 95823
Phone (916) 681-1866

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3000 Q St
Fl 3
Sacramento, CA 95816
Phone (916) 733-3400

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: dbaker422671@hisp.ehr.sutterhealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1689821704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GLASSON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455723",
            "telephone_number": "530-274-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DUSTYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.