NPIMap

Individual provider Active NPI

Larry J Baylis, D.O.

  • Family Medicine Physician
  • Clarkston, MI
National Provider Identifier
1902847510
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010781 Issued in MI
Practice address
7736 Ortonville Rd
Ste. a
Clarkston, MI 48348-4483
Phone
(248) 625-5885
Fax
(248) 625-6794
NPI assigned
Jun 8, 2006
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010781 MI Primary

Addresses

Primary practice location

7736 Ortonville Rd
Ste. a
Clarkston, MI 48348-4483

Mailing address

7736 Ortonville Rd
Ste. a
Clarkston, MI 48348-4483
Phone (248) 625-5885

Other identifiers 2

IdentifierTypeStateIssuer
080127004OtherMIMEDICARE RAILROAD
5630195OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060710000035 MI Practitioner - Family Practice 7012929201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M-15 Family Medical Center PCGroup PAC ID 5395757587, 2 clinicians

Practice addresses (Care Compare)

7736 Ortonville Rd
Clarkston, MI 48348-4483

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010781MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M-15 Family Medical Center P C Family Medicine CurrentSince Jul 19, 2006 Accepting new patients
J Scott Allen Jr PHD LLC PastSince Aug 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7736 Ortonville Rd
Ste A
Clarkston, MI 48348
Phone (248) 625-5885

Interoperability endpoints

  • Direct secure messaging: lbaylis1116730@direct.hfhs.org

Organizations & group practices 3

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 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1902847510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7736 ORTONVILLE RD",
            "address_2": "STE. A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484483",
            "telephone_number": "248-625-5885",
            "fax_number": "248-625-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 ORTONVILLE RD",
            "address_2": "STE. A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484483",
            "telephone_number": "248-625-5885",
            "fax_number": "248-625-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLIS",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080127004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5630195",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.