Individual provider Active NPI

Charity Dara Baker, DO

  • Family Medicine Physician
  • Rockwell, IA
National Provider Identifier
1982820866
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4009 Issued in IA
Practice address
705 Elm St E
Rockwell, IA 50469-1035
Phone
(641) 372-0315
Fax
(641) 372-0304
NPI assigned
Apr 18, 2007
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02003107A IN
Family Medicine Physician 207Q00000X 02003107A IN
Family Medicine Physician 207Q00000X 4009 IA Primary

Addresses

Primary practice location

705 Elm St E
Rockwell, IA 50469-1035

Mailing address

705 Elm St E
Rockwell, IA 50469-1035
Phone (641) 372-0315

Other practice location 1

403 1st St SE
Belmond, IA 50421-1201
Phone (641) 444-3500

Other identifiers 1

IdentifierTypeStateIssuer
200889330MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20091014000105 IA Practitioner - Family Practice 1153406020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 N Eisenhower Ave
Mason City, IA 50401-1521
Phone (641) 424-2391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4009IAMDFamily Medicine Physician
02003107AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Ridge Integrated Behavioral Healthcare CurrentSince Mar 1, 2024 Accepting new patients
Prairie Ridge Integrated Behavioral Healthcare CurrentSince Mar 1, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Memorial Hospital of South Bend Emergency Medicine Past Accepting new patients

Locations

320 N Eisenhower Ave
Mason City, IA 50401
Phone (641) 423-1481

Interoperability endpoints

  • Direct secure messaging: cbaker131218@uihcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1982820866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ELM ST E",
            "city": "ROCKWELL",
            "state": "IA",
            "postal_code": "504691035",
            "telephone_number": "641-372-0315",
            "fax_number": "641-372-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 ELM ST E",
            "city": "ROCKWELL",
            "state": "IA",
            "postal_code": "504691035",
            "telephone_number": "641-372-0315",
            "fax_number": "641-372-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "641-444-3500",
            "fax_number": "641-444-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHARITY",
        "middle_name": "DARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02003107A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003107A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200889330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwell, IA

Sources for this page

Verify at the official NPI Registry.