Individual provider Active NPI

Pamela B Baines, MD

  • Otolaryngology Physician
  • Tampa, FL
National Provider Identifier
1750378170
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME0070987 Issued in FL
Practice address
Florida ENT & Allergy
5105 N Armenia Ave
Tampa, FL 33603-1405
Phone
(813) 879-8045
Fax
(813) 876-6504
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X ME070987 FL
Otolaryngology Physician 207Y00000X ME070987 FL
Otolaryngic Allergy Physician 207YX0602X ME070987 FL
Otolaryngology Physician 207Y00000X ME0070987 FL Primary

Addresses

Primary practice location

Florida ENT & Allergy
5105 N Armenia Ave
Tampa, FL 33603-1405

Mailing address

Select Physicians Alliance
10002 Princess Palm Ave. Ste 332
Tampa, FL 33619-8327
Phone (813) 571-7184

Other identifiers 2

IdentifierTypeStateIssuer
250293300MedicaidFL
31681OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110823000628 FL Practitioner - Otolaryngology 9133399595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 879-8045

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as individual
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070987FLMDOtolaryngology Physician
ME070987FLMDOtolaryngic Allergy Physician

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pbaines@entaaf.emadirect.md

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.

Hospital & facility affiliations 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1750378170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SELECT PHYSICIANS ALLIANCE",
            "address_2": "10002 PRINCESS PALM AVE. STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA ENT & ALLERGY",
            "address_2": "5105 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031405",
            "telephone_number": "813-879-8045",
            "fax_number": "813-876-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINES",
        "first_name": "PAMELA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME070987",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME070987",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "ME070987",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0070987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250293300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31681",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.