Individual provider Active NPI

Andrew Brantley Baker, M.D.

  • Otolaryngology Physician
  • Milwaukie, OR
National Provider Identifier
1891157343
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD204518 Issued in OR
Practice address
10330 SE 32ND Ave Ste 320
Milwaukie, OR 97222-6596
Phone
(503) 513-8693
NPI assigned
Mar 23, 2016
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X MD204518 OR Primary

Addresses

Primary practice location

10330 SE 32ND Ave Ste 320
Milwaukie, OR 97222-6596

Mailing address

10330 SE 32ND Ave Ste 320
Milwaukie, OR 97222-6596
Phone (503) 513-8693

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8211

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628002188 OR Practitioner - Otolaryngology 8921395054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest ENT Allergy and Sleep Associates LLCGroup PAC ID 8628417508, 5 clinicians

Practice addresses (Care Compare)

10330 SE 32ND Ave
Suite 320
Milwaukie, OR 97222-6596
Phone (503) 513-8693

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastmoreland Ear, Nose & Throat, Clinic, LLP CurrentSince Sep 1, 2021 Accepting new patients
Northwest ENT and Allergy Care Inc Otolaryngology CurrentSince Aug 13, 2021 Accepting new patients
Northwest ENT, Allergy and Sleep Associates, LLC Otolaryngology CurrentSince Dec 11, 2023 Accepting new patients
Providence Health & Services Oregon PastSince Sep 1, 2021 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 240
Clackamas, OR 97015
Phone (503) 233-5548

10024 SE 32nd Ave
Portland, OR 97222
Phone (503) 513-8693

10330 SE 32nd Ave
Ste 320
Portland, OR 97222
Phone (503) 513-8693

Interoperability endpoints

  • Direct secure messaging: abaker154295@direct.ohsu.edu
  • Direct secure messaging: andrew.baker.1@1145.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1145/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1891157343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE STE 320",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226596",
            "telephone_number": "503-513-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE STE 320",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226596",
            "telephone_number": "503-513-8693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ANDREW",
        "middle_name": "BRANTLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD204518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.