BAYLON FAMILY PHYSICIANS, LTD.
NPI 1346257185
Family Medicine in Milwaukee, WI
NPI Status: Active since August 02, 2006
Contact Information
756 N 35TH ST
SUITE 101
MILWAUKEE, WI
ZIP 53208
Phone: (414) 342-2511
Fax: (414) 342-2209
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 52D0913011
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-18-2026
About BAYLON FAMILY PHYSICIANS, LTD.
This page provides the complete NPI Profile along with additional information for Baylon Family Physicians, Ltd., a primary care provider established in Milwaukee, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1346257185 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 36046 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. Baylon Family Physicians, Ltd. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Joselito Baylon Md (President)
- NPI
- 1346257185
- Provider Name
- BAYLON FAMILY PHYSICIANS, LTD.
- Entity Type
- Organization
- Location Address
- 756 N 35TH ST SUITE 101 MILWAUKEE, WI 53208
- Location Phone
- (414) 342-2511
- Location Fax
- (414) 342-2209
- Mailing Address
- 2425 N 128TH ST BROOKFIELD, WI 53005
- Mailing Phone
- (262) 352-9081
- Mailing Fax
- (414) 342-2209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Baylon Family Physicians, Ltd. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36046
- License State
- WI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21286700 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0913011
- Facility Type
- Physician Office
- Certificate Effective Date
- March 19, 2024
- Certificate Expiration Date
- March 18, 2026
- Laboratory Director
- JOSELITO A. BAYLON, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Baylon Family Physicians, Ltd. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 2 | 5 | 7 | 1 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 5 | 14 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 5 + 1 + 4 + 1 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1346257185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205843083 | MA REMEDIOS QUEJADA-BAYLON MD Individual | Pediatrics | 756 N 35TH ST SUITE 101 MILWAUKEE, WI 53208 (414) 342-2511 |
| 1467469296 | JOSELITO ALVAREZ BAYLON MD Individual | Family Medicine | 756 N 35TH ST SUITE 101 MILWAUKEE, WI 53208 (414) 342-2511 |
| 1154410264 | AMERICAN PORTABLE IMAGING LLC Organization | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 756 N 35TH ST SUITE #100 MILWAUKEE, WI 53208 (414) 935-9843 |
| 1215237698 | MILWAUKEE HOME HEALTHCARE, LLC Organization | Home Health | 756 N 35TH ST SUITE 100 MILWAUKEE, WI 53208 (414) 937-3120 |
| 1518013630 | MR. RYAN M GARMAN M.P.T. Individual | Physical Therapist | 756 N 35TH ST STE 203 MILWAUKEE, WI 53208 (414) 763-1237 |
| 1215037155 | CAROLINA G. CONTI, M.D., S.C. Organization | Internal Medicine | 756 N 35TH ST SUITE 100 MILWAUKEE, WI 53208 (414) 431-2888 |
| 1598140055 | LIFE AND LIBERTY HOME HEALTHCARE, LLC Organization | Home Health | 756 N 35TH ST SUITE 205 MILWAUKEE, WI 53208 (414) 345-1111 |
| 1003963794 | JEREMIAS B. VINLUAN M.D. S.C. Organization | Family Medicine | 756 N 35TH ST SUITE 204 MILWAUKEE, WI 53208 (414) 342-2606 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346257185, enumerated in the NPI registry as an "organization" on August 02, 2006
The provider is located at 756 N 35th St Suite 101 Milwaukee, Wi 53208 and the phone number is (414) 342-2511
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0913011 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.