Individual provider Active NPI

Holly L Baab, MD

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1962511295
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83251 Issued in FL
Practice address
700 Sixth Street South
St Petersburg, FL 33701-4891
Phone
(727) 843-6116
Fax
(727) 553-7342
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2003-0135 NM
Family Medicine Physician 207Q00000X ME83251 FL Primary

Addresses

Primary practice location

700 Sixth Street South
St Petersburg, FL 33701-4891

Mailing address

700 Sixth Street South
St Petersburg, FL 33701-4891
Phone (727) 843-6116

Other identifiers 1

IdentifierTypeStateIssuer
17071844MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100430000760 FL Practitioner - Family Practice 2163550773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

700 6TH St S
FL 3
St Petersburg, FL 33701-4815
Phone (727) 893-6116

Hospital & facility affiliations

  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0135NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

700 6th St S
Fl 3
St Petersburg, FL 33701
Phone (727) 893-6116

Interoperability endpoints

  • Direct secure messaging: hbaab188816@orlandohealth.medalliesdirect.net

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 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1962511295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SIXTH STREET SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014891",
            "telephone_number": "727-843-6116",
            "fax_number": "727-553-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SIXTH STREET SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014891",
            "telephone_number": "727-843-6116",
            "fax_number": "727-553-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAB",
        "first_name": "HOLLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2003-0135",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17071844",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.