Russell Barre Baker

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

247793 Issued in KY

Practice address

309 11TH St
Carrollton, KY 41008-1435

Phone

(502) 732-3280

Fax

(502) 575-6234

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCMH CorporationGroup PAC ID 2365540465, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll County Memorial Hospital Hospital, Carrollton, KY, CCN 181310

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CCMH Corporation

  • Critical Access Hospital
  • Carrollton, KY
  • NPI 1225159601
  Medicare reassignment Care Compare group NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• CCMH Corporation

  • Surgery Physician
  • Carrollton, KY
  • NPI 1528255692
  NPD
• CCMH Corporation

  • Community/Retail Pharmacy
  • Carrollton, KY
  • NPI 1760149413
  NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• University of Louisville Physicians, Inc.

  • Pediatric Rheumatology Physician
  • Louisville, KY
  • NPI 1922364645
  NPD
• CCMH Corporation

  • Rural Health Clinic/Center
  • Carrollton, KY
  • NPI 1558585091
  NPD (past)
• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970
  NPD (past)
• University of Louisville Research Foundation

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1851357735
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CCMH Corporation

  • Critical Access Hospital
  • Carrollton, KY
  • NPI 1225159601
  Care Compare affiliation

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1760043822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3280",
            "fax_number": "502-575-6234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Abraham Flexner Way Ste 1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021886",
            "country_code": "US",
            "telephone_number": "502-210-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RUSSELL",
        "middle_name": "BARRE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "247793",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "247793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100919580",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300084017",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Adcock, FNP
• Affinity Rehabilitation, Inc.
• Already Autism Health
• American Physical Therapy Services, LLC
• Ann Nesmith DMD PLLC
• Heidi Bellile, LPCC
• Karalee J Bessinger, M.D.
• Reva Kathleen Bieger
• Mary Meyer Blattman, NP-C
• Bluegrass Drug Center Inc

• Foot & Ankle Surgery Podiatrist in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.