Tim Baker, MD
Individual provider Active NPI Internal Medicine Physician · Washington, MO
NPI 1760596134 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760596134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 102932 (MO)
- Practice address
- 10 Franklin St
Washington, MO 63090 - Phone
- (636) 239-2741
- Fax
- (636) 239-0194
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Saint Louis University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335
621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospice
- Mercy Hospital Washington
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 15 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040803001370 | MO | Practitioner - Internal Medicine |
3870564842 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102932 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Adult Hospitalists - Washington, LLC | Current |
Accepting new patients | |
| Mercy Clinic East Communities | Internal Medicine | Current |
Accepting new patients |
Locations
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141
Phone (314) 251-6486
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
851 E 5th St
Ste 306
Washington, MO 63090
Phone (636) 239-2741
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- tbaker76876@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 102932 | MO | Yes |
Addresses
Primary practice location
10 Franklin St
Washington, MO 63090
Mailing address
3691 Rutger Ave
Provider Enrollment
St Louis, MO 63110
Phone (314) 977-6828
Other providers in Washington, MO
- Axes Physical Therapy I, LLC
- Bryce A Ayers
- Tamara Bailey
- Kelly J Bain
- Alicia Caroline Baker
- Audrey Grace Bales
- Karen A Balk
- Jacquelyn N Ball
- Dilip Banerjee
- Susan Candela Barocela
All providers in Washington, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.