Individual provider Active NPI

Gregory Alan Baum, M.D.

  • Plastic Surgery Physician
  • East Syracuse, NY
National Provider Identifier
1720083090
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
216811-1 Issued in NY
Practice address
5898 Bridge St
East Syracuse, NY 13057-1305
Phone
(315) 663-0112
Fax
(315) 663-0132
NPI assigned
Jun 14, 2005
Last updated
May 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 216811-1 NY Primary

Addresses

Primary practice location

5898 Bridge St
East Syracuse, NY 13057-1305

Mailing address

5898 Bridge St
East Syracuse, NY 13057
Phone (315) 663-0112

Other identifiers 1

IdentifierTypeStateIssuer
RB7625OtherNYMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GBaum@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080211000436 NY Practitioner - Plastic and Reconstructive Surgery 2668555913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of Ny Upstate Medical University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Cosmetic and Reconstructive Surgery LLCGroup PAC ID 8123106424, 5 clinicians

Practice addresses (Care Compare)

5898 Bridge St
East Syracuse, NY 13057-2941
Phone (315) 663-0112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Quality
89.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision136
Removal of tissue14
Removal of skin lesions83
Removal or shaving of skin growth1-10
Skin biopsy55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216811-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Cosmetic & Reconstructive Surgery LLC CurrentSince Apr 1, 2008 Accepting new patients

Locations

5898 Bridge St
East Syracuse, NY 13057
Phone (315) 663-0112

4403 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 663-0112

Interoperability endpoints

  • Direct secure messaging: gbaum@directaddress.net

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

Hospital & facility affiliations 1

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1720083090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5898 BRIDGE ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-663-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5898 BRIDGE ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571305",
            "telephone_number": "315-663-0112",
            "fax_number": "315-663-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "216811-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB7625",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GBaum@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "5898 Bridge St",
            "city": "East Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130572941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.