Individual provider Active NPI

Jaimison W Baker, MD

  • Anesthesiology Physician
  • Roanoke, VA
National Provider Identifier
1780891069
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101242651 Issued in VA
Practice address
5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4357
Phone
(540) 345-0289
Fax
(540) 345-9569
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101242651 VA Primary

Addresses

Primary practice location

5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4357

Mailing address

5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4357
Phone (540) 345-0289

Other identifiers 2

IdentifierTypeStateIssuer
1780891069MedicaidVA
1780891069MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101108000103 VA Practitioner - Anesthesiology 7315132172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia PCGroup PAC ID 7416851597, 70 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 772-3400

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242651VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesia PC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Acv Inc Anesthesiology CurrentSince Feb 1, 2013 Accepting new patients
Anesthesiology Consultants of Virginia, Inc Anesthesiology PastSince Feb 1, 2013 Accepting new patients

Locations

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289

1102 S Jefferson St
Roanoke, VA 24016
Phone (540) 342-0707

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1780891069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JAIMISON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101242651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780891069",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780891069",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.