NPIMap

Individual provider Active NPI

Khalid A Baig, M.D.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1720199342
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A049356 Issued in CA
Practice address
632 Mowry Ave
Fremont, CA 94536-4113
Phone
(510) 793-2113
Fax
(510) 793-4717
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A049356 CA Primary

Addresses

Primary practice location

632 Mowry Ave
Fremont, CA 94536-4113

Mailing address

632 Mowry Ave
Fremont, CA 94536-4113
Phone (510) 793-2113

Other identifiers 1

IdentifierTypeStateIssuer
272444511OtherCATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100521000622 CA Practitioner - Family Practice 2466353180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

632 Mowry Ave
Fremont, CA 94536-4113
Phone (510) 793-2113

Hospital & facility affiliations

  • We Care Home Care and Hospice, Inc. Home health agency, Fremont, CA, CCN 059413
  • Nursing Resources Home health agency, Union City, CA, CCN 059258
  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • We Care Skilled Nursing - Fremont Nursing home, Fremont, CA, CCN 056298

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49356CAMDDentist
A049356CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Consultants Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
California Cardiovascular Consultants Medical Associates CurrentSince Jan 1, 2017 Accepting new patients
Washington Township Hospital District Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1720199342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-793-2113",
            "fax_number": "510-793-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-793-2113",
            "fax_number": "510-793-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIG",
        "first_name": "KHALID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A049356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "272444511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.