NICHOLAS KYLE BALDWIN
NPI 1013413327
Internal Medicine - Gastroenterology in Baton Rouge, LA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
9103 JEFFERSON HWY, BATON ROUGE, LA 70809(225) 927-1190 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Kyle Baldwin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS KYLE BALDWIN (NPI 1013413327) is an individual gastroenterology provider in Baton Rouge, Louisiana, licensed in Louisiana (341380) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013413327
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNICHOLAS KYLE BALDWIN
Location Address9103 JEFFERSON HWYBaton Rouge, LA 70809-2440
Mailing Address9103 Jefferson HwyBaton Rouge, LA 70809-2440 · (225) 927-1190
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
NPI 1013413327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in LA · 341380
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9103 JEFFERSON HWY, Baton Rouge, LA 70809

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas Kyle Baldwin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870033574
PECOS Enrollment IDI20240910004732
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services55 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
66 services61 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

West Feliciana Parish Hospital

Critical Access Hospitals · Saint Francisville, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191306
Location5266 Commerce Street, Building BSaint Francisville, LA 70775 · West Feliciana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Nurse Practitioner
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Internal Medicine (Gastroenterology)
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Physician Assistant
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Dietitian, Registered
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Internal Medicine (Gastroenterology)
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Nurse Anesthetist, Certified Registered
9103 JEFFERSON HWY
BATON ROUGE, LA 70809
Internal Medicine (Gastroenterology)
9103 JEFFERSON HWY
BATON ROUGE, LA 70809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Baldwin's NPI number?

The NPI number for Nicholas Baldwin is 1013413327. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Nicholas Baldwin located?

Nicholas Baldwin practices at 9103 Jefferson Hwy, Baton Rouge, LA 70809. The listed phone number is (225) 927-1190.

What is Nicholas Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicholas Baldwin enrolled in Medicare?

Yes. Nicholas Baldwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Baldwin accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Nicholas Baldwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Baldwin affiliated with any hospitals?

According to CMS data, Nicholas Baldwin is affiliated with Our Lady Of The Lake Regional Medical Center, Baton Rouge General Medical Center and West Feliciana Parish Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Baldwin was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.