JAMES B BAKER MD
NPI 1790791952
Pediatrics in Ann Arbor, MI
NPI Status: Active since July 31, 2006
Contact Information
4260 PLYMOUTH RD
ANN ARBOR, MI
ZIP 48109
Phone: (734) 647-5670
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About JAMES BAKER
This page provides the complete NPI Profile along with additional information for James Baker, a pediatrician established in Ann Arbor, Michigan with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1790791952 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 4301063876 (MI). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1790791952
- Provider Name
- JAMES B BAKER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4260 PLYMOUTH RD ANN ARBOR, MI 48109
- Location Phone
- (734) 647-5670
- Mailing Address
- 3621 S STATE ST 700 KMS PLACE ATTN: ELLEN KAYFES ANN ARBOR, MI 48108
- Mailing Phone
- (734) 936-2047
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 03-01-2012
- Code Navigator
A pediatrician like James Baker is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301063876
- License State
- MI
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - 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 |
|---|---|---|---|
| 3519101 | MEDICAID (05) | MI | |
| OH16103250 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
| G85562 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
James Baker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JAMES B BAKER MD
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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 | 7 | 9 | 0 | 7 | 9 | 1 | 9 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 9 | 2 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 2 + 9 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1790791952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801856802 | MS. LAURA MAY STRUBLE APRN BC Individual | Nurse Practitioner | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 936-4400 |
| 1902821994 | ANA TERESA MONTOYA MD Individual | Internal Medicine (Geriatric Medicine) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1730109679 | DR. MARCOS MONTAGNINI M.D. Individual | Internal Medicine (Geriatric Medicine) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1982615662 | MS. SARA ANN DANIEL RN/NP Individual | Nurse Practitioner | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1134214687 | DR. KAREN EVALINE HALL M.D., PH.D. Individual | Internal Medicine (Geriatric Medicine) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1972699122 | CAROLINE ANNE VITALE MD Individual | Internal Medicine | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1033208178 | JENNY N HSU MD Individual | Internal Medicine | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 647-5650 |
| 1457432585 | CAROL S SHULTHEIS CNM Individual | Advanced Practice Midwife | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 647-5650 |
| 1760563118 | NEIL B ALEXANDER MD Individual | Internal Medicine (Geriatric Medicine) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1346325297 | DEBORAH BRUNELLE NP Individual | Nurse Practitioner | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1790861714 | ALAN M MELLOW MD Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 936-4400 |
| 1841376837 | DR. MARK LYUBKIN MD Individual | Psychiatry & Neurology (Psychiatry) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 936-4400 |
| 1275608028 | MRS. CHRISTINE WISNIOWIECKI DUBOIS R.D. Individual | Dietitian, Registered | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 647-5655 |
| 1073688339 | LORI ELIZABETH TRUDEAU M.S., R.D. Individual | Dietitian, Registered | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 936-0839 |
| 1154481000 | DOROTHY T YENNI NP Individual | Nurse Practitioner | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1457412819 | DIANA E RICHARDS NP Individual | Nurse Practitioner | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 647-5660 |
| 1831240118 | MARY CAROL BLAZEK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 936-4400 |
| 1225181134 | CAROLYN L MORRIS NP Individual | Nurse Practitioner | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1114060118 | JANET LUCILE FOGLER MSW Individual | Social Worker | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
| 1053446609 | ELIZABETH BROCK SPENCER MSW Individual | Social Worker | 4260 PLYMOUTH RD ANN ARBOR, MI 48109 (734) 764-6831 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790791952, enumerated in the NPI registry as an "individual" on July 31, 2006
The provider is located at 4260 Plymouth Rd Ann Arbor, Mi 48109 and the phone number is (734) 647-5670
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $102.35 and an average copayment of 25.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 31, 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].
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