Individual provider Active NPI

David Leon Baugh, M.D.

  • Diagnostic Radiology Physician
  • Brookfield, WI
National Provider Identifier
1790948438
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53842-20 Issued in WI
Practice address
18650 W Corporate Dr
Suite #102
Brookfield, WI 53045-6344
Phone
(414) 358-5437
NPI assigned
Jul 2, 2008
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 53842-20 WI Primary

Addresses

Primary practice location

18650 W Corporate Dr
Suite #102
Brookfield, WI 53045-6344

Mailing address

18650 W Corporate Dr
Suite #102
Brookfield, WI 53045-6344

Other identifiers 1

IdentifierTypeStateIssuer
100030591MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dbaugh22799@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20131121000066 WI Practitioner - Diagnostic Radiology 3274769211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians

Practice addresses (Care Compare)

1005 Spring City Dr
Waukesha, WI 53186-5934
Phone (262) 371-4040

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

1061 E Commerce Boulevard
Slinger, WI 53086-9326
Phone (262) 644-2900

1100 Gateway CT
West Bend, WI 53095-8539
Phone (262) 335-8600

1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 456-2030

120 Chapman Farms Blvd
Mukwonago, WI 53149-9337
Phone (262) 363-6160

12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5000

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

14555 W National Ave
Suite 120
New Berlin, WI 53151-4494
Phone (262) 827-2955

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000

1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000

1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200

2000 E Layton Ave
Suite 130
St Francis, WI 53235-6067
Phone (414) 747-8856

201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 723-3100

205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-4800

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

2219 Garfield St
Two Rivers, WI 54241-2416
Phone (920) 793-6317

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000

252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 14, 2014 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Aug 1, 2014 Accepting new patients

Locations

112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

3003 University Dr
Marinette, WI 54143
Phone (715) 735-3187

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2801 W Kinnickinnic River Pkwy
Ste 250
Milwaukee, WI 53215
Phone (414) 649-3354

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

2000 E Layton Ave
Ste 130
St Francis, WI 53235
Phone (414) 294-4522

4025 N 92nd St
Wauwatosa, WI 53222
Phone (414) 358-5431

Interoperability endpoints

  • Direct secure messaging: dbaugh22799@direct.myadvocateaurora.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1790948438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 W CORPORATE DR",
            "address_2": "SUITE #102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 W CORPORATE DR",
            "address_2": "SUITE #102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456344",
            "telephone_number": "414-358-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "DAVID",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "53842-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030591",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbaugh22799@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18650 W Corporate Dr",
            "address_2": "Suite #102",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530456344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "18650 W Corporate Dr",
            "address_2": "Suite #102",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530456344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.