Individual provider Active NPI

Kailyn Kristine Baalman, MD

  • Family Medicine Physician
  • Cedar Hill, MO
National Provider Identifier
1720763741
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023023529 Issued in MO
Practice address
6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone
(636) 274-2700
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 2023023529 MO Primary

Addresses

Primary practice location

6420 The Cedars CT
Cedar Hill, MO 63016-2222

Mailing address

889 Auer Landing Rd
Golden Eagle, IL 62036-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230622000867 MO Order and Referring Only - Family PracticePractitioner - Family Practice 3779941885

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

226 S Woods Mill Rd
Chesterfield, MO 63017-3662

5940 Mexico Rd
Saint Peters, MO 63376-1631

889 Auer Landing Rd
Golden Eagle, IL 62036-2292

Hospital & facility affiliations

National Provider Directory

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

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1720763741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 AUER LANDING RD",
            "city": "GOLDEN EAGLE",
            "state": "IL",
            "postal_code": "620362292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162222",
            "telephone_number": "636-274-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAALMAN",
        "first_name": "KAILYN",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023023529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, MO

Sources for this page

Verify at the official NPI Registry.