Individual provider Active NPI

Joseph M Baker, D.O.

  • Family Medicine Physician
  • Lees Summit, MO
National Provider Identifier
1922086693
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023014079 Issued in MO
Practice address
3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337
Phone
(816) 554-8346
Fax
(816) 554-9470
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 0519455 KS
Family Medicine Physician 207Q00000X 05-19455 KS
Family Medicine Physician 207Q00000X 2023014079 MO Primary

Addresses

Primary practice location

3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337

Mailing address

3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337
Phone (816) 554-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230608002427 MO Practitioner - Family PracticePractitioner - Other (Physician) 6901858141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Skin Care IncorporatedGroup PAC ID 2264459650, 5 clinicians

Practice addresses (Care Compare)

3521 NE Ralph Powell Rd
Suite C
Lees Summit, MO 64064-2324
Phone (816) 554-8346

Hospital & facility affiliations

  • John Knox Village Care Center Nursing home, Lees Summit, MO, CCN 265095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0519455KSMDPhlebology Physician
2023014079MOMDFamily Medicine Physician
5473OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Community Hospital LLC Family Medicine Current Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
USA Vein Clinics of Decatur LLC Family Medicine PastSince May 1, 2016 Accepting new patients
Wellington Family Practice Clinic LLP Family Medicine PastSince Jan 1, 1995 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: josephbaker@summitsvc.curemd.direct-ci.com

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.

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1922086693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642337",
            "telephone_number": "816-554-8346",
            "fax_number": "816-554-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642337",
            "telephone_number": "816-554-8346",
            "fax_number": "816-554-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "KS",
            "license": "0519455",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-19455",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023014079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.