Individual provider Active NPI

Dongho Baag, M.D.

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1942242557
Registry record updated Jul 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10005050 Issued in DE
Practice address
9 Oklahoma State Dr
Newark, DE 19713-1142
Phone
(302) 584-4853
Fax
(302) 397-2900
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20130926000059 DE Order and Referring Only - Family PracticePractitioner - Family Practice 0648178863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10005050DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VA Maryland Health Care System Past Accepting new patients
Quality Family Physicians, PA Family Medicine Past Accepting new patients
Personal Health Care & Consulting, P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21993/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10005050 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

9 Oklahoma State Dr
Newark, DE 19713-1142

Mailing address

361 Boiler House Rd
Perry Point, MD 21902-1103
Phone (410) 642-2411

Other names 1

NPPES NPI Registry
  • Dr. Don Baag Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2015.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1942242557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 BOILER HOUSE RD",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021103",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 OKLAHOMA STATE DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131142",
            "telephone_number": "302-584-4853",
            "fax_number": "302-397-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAG",
        "first_name": "DONGHO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10005050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "BAAG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.