John L Baeke, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

T2821 Issued in TX

Practice address

423 Treeline Park Ste 310
San Antonio, TX 78209-2079

Phone

(918) 380-2525

Fax

(530) 430-2026

NPI assigned

May 27, 2005

Reactivated

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Apotheosis Medical Group, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1417763269

  General Practice, TX

  Medicare reassignment NPD Authorized official
• Park Place Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Boerne, TX
  • NPI 1538860408

  TX

  Medicare reassignment Authorized official
• Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
  • NPI 1679908602

  TX

  Medicare reassignment NPD
• Lompoc Valley Medical Center

  • General Practice Physician
  • Lompoc, CA
  • NPI 1649282856

  CA, General Practice

  Medicare reassignment NPD
• Park Place Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1447257662
  NPD (past) Authorized official
• Hamilton County Hospital District

  • Skilled Nursing Facility
  • Bandera, TX
  • NPI 1326504465
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1831192525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DI LUSSO DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780064703",
            "telephone_number": "918-380-2525",
            "fax_number": "530-430-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 TREELINE PARK STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092079",
            "telephone_number": "918-380-2525",
            "fax_number": "530-430-2026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 State Highway 151",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514498",
            "country_code": "US",
            "telephone_number": "918-380-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEKE",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G55894",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "T2821",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "T2821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240003786",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "18537060",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "458239",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irisha Badu, MD
• Tracy Badua, IDMT
• Winnifer Lourdes Baduel, M.D.
• Jasmin Kaur Badwal, PHARMD
• Yeri Bae
• Hallie Baer
• Amanda Baerga
• Lou R. Baeten, D.D.S.
• Luis Manuel Baez Cabrera, MD
• Mary M Baez-Chavez, LCSW

• All providers in San Antonio, TX
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.