Active NPI
Egbert D Baumgart, MD
- Urology Physician
- Dover, NH
National Provider Identifier
1821269754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 14244
- Practice address
- 17 Old Rollinsford Road, Suite 3
Dover, NH 03820-2892 - Phone
- (608) 742-5011
- Fax
- (603) 742-3530
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 14244 | NH | Primary |
Addresses
Primary practice location
17 Old Rollinsford Road, Suite 3
Dover, NH 03820-2892
Mailing address
17 Old Rollinsford Road, Suite 3
Dover, NH 03820-2892
Phone (608) 742-5011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209901 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090926000053 | NH | Practitioner - Urology | 0345396701 | Reassigns benefits to 1 organization |
| I20140502001544 | ME | Practitioner - Urology | 0345396701 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- York Hospital
Practice addresses (Care Compare)
15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321
16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715
Hospital & facility affiliations
- York Hospital
- Wentworth-Douglass Hospital
- Frisbie Memorial Hospital
- Portsmouth Regional Hospital
- Huggins Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Urology | Current | Accepting new patients |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Gateway Urology PA | Urology | Past | Accepting new patients |
| Lahey Clinic, Inc | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
12 Hospital Dr
York, ME 03909
Phone (207) 351-3960
6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060
Interoperability endpoints
- ebaumgart10853@direct.bilh.masshiway.net
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 and National Provider Directory roles.
-
- Home Health Agency
- York, ME
- NPI 1538144662
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1821269754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 OLD ROLLINSFORD ROAD, SUITE 3",
"city": "DOVER",
"state": "NH",
"postal_code": "038202892",
"telephone_number": "608-742-5011",
"fax_number": "603-742-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 OLD ROLLINSFORD ROAD, SUITE 3",
"city": "DOVER",
"state": "NH",
"postal_code": "038202892",
"telephone_number": "608-742-5011",
"fax_number": "603-742-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGART",
"first_name": "EGBERT",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NH",
"license": "14244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209901",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.