Active NPI
James J Baek, M.D.
- Diagnostic Radiology Physician
- South Charleston, WV
National Provider Identifier
1851393045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18837
- Practice address
- 4605 Maccorkle Ave SW
South Charleston, WV 25309-1311 - Phone
- (304) 766-3600
- Fax
- (304) 343-4626
- NPI assigned
- Jun 1, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18837 | WV | Primary |
Addresses
Primary practice location
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Mailing address
PO Box 840
Lima, OH 45802-0840
Phone (877) 574-7116
Other practice location 1
333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6500
Other practice location 2
1021 Quarrier St
Ste 301
Charleston, WV 25301-2313
Phone (304) 343-4625
Other practice location 3
4800 MacCorkle Ave SW
South Charleston, WV 25309-1332
Phone (304) 766-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000023074 | Other | WV | BLUE CROSS |
| 0121594000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Medical Sonoimaging, LLC | Past | Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- Rural Health Clinic/Center
- Montgomery, WV
- NPI 1275163644
-
- Critical Access Hospital
- Montgomery, WV
- NPI 1619913647
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1336228659
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
- Radiology Clinic/Center
- Charleston, WV
- NPI 1871734558
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851393045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840",
"city": "LIMA",
"state": "OH",
"postal_code": "458020840",
"telephone_number": "877-574-7116",
"fax_number": "419-223-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091311",
"telephone_number": "304-766-3600",
"fax_number": "304-343-4626"
}
],
"practiceLocations": [
{
"address_1": "333 Laidley St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-347-6500",
"fax_number": "304-343-4626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Quarrier St",
"address_2": "Ste 301",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253012313",
"country_code": "US",
"telephone_number": "304-343-4625",
"fax_number": "304-343-4626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 MacCorkle Ave SW",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091332",
"country_code": "US",
"telephone_number": "304-766-3600",
"fax_number": "304-343-4626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAEK",
"first_name": "JAMES",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "18837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000023074",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121594000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.