Individual provider Active NPI

Michael Baur, O.D.

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1700212628
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010730 Issued in IL
Practice address
D330 Woodfield Mall
Schaumburg, IL 60173-5010
Phone
(847) 619-9470
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4996 MA
Optometrist 152W00000X 046.010730 IL Primary

Addresses

Primary practice location

D330 Woodfield Mall
Schaumburg, IL 60173-5010

Mailing address

D330 Woodfield Mall
Schaumburg, IL 60173-5010
Phone (847) 619-9470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140929000077 IL Practitioner - Optometry 5395965230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Dr Kaplan and Associates PCGroup PAC ID 9931259330, 6 clinicians

Practice addresses (Care Compare)

680 S Rand Rd
Lake Zurich, IL 60047-3409
Phone (847) 540-3051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010730ILMDOptometrist
4996MAMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1700212628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D330 WOODFIELD MALL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735010",
            "telephone_number": "847-619-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D330 WOODFIELD MALL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735010",
            "telephone_number": "847-619-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUR",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4996",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.