NPIMap

Individual provider Active NPI

Michael Velemir Baich, MD

  • Family Medicine Physician
  • Coleraine, MN
National Provider Identifier
1982810164
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20782 Issued in MN
Practice address
101 Baich Dr
Coleraine, MN 55722
Phone
(218) 245-1484
Fax
(218) 245-1522
NPI assigned
May 15, 2007
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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 20782 MN Primary
Surgery Physician 208600000X 20782 MN

Addresses

Primary practice location

101 Baich Dr
Coleraine, MN 55722

Mailing address

PO Box 198
101 Baich Dr
Coleraine, MN 55722-0198
Phone (218) 245-1484

Other identifiers 4

IdentifierTypeStateIssuer
1700807OtherMEDICA
1010219OtherPREFERRED ONE
249793000MedicaidMN
70140BAOtherPREFERRED ONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20070719000561 MN Practitioner - General PracticePractitioner - General Surgery 7113028259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
University of Minnesota Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Baich Dr
Coleraine, MN 55722-0029
Phone (218) 245-1484

258 Pine Tree Dr
Bigfork, MN 56628-4340
Phone (218) 743-3177

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr VM Baich PA Family Medicine CurrentSince Feb 1, 1979 Accepting new patients
Northern Itasca Hospital District CurrentSince Jun 1, 2009 Accepting new patients

Organizations & group practices 2

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 9

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1982810164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "address_2": "101 BAICH DR",
            "city": "COLERAINE",
            "state": "MN",
            "postal_code": "557220198",
            "telephone_number": "218-245-1484",
            "fax_number": "218-245-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAICH DR",
            "city": "COLERAINE",
            "state": "MN",
            "postal_code": "55722",
            "telephone_number": "218-245-1484",
            "fax_number": "218-245-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAICH",
        "first_name": "MICHAEL",
        "middle_name": "VELEMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "20782",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "20782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1700807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1010219",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249793000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "70140BA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coleraine, MN

Sources for this page

Verify at the official NPI Registry.