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JAKE BALDASARE MD
NPI 1023945946
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since May 05, 2026PECOS Enrolled
1300 N 12TH ST STE 508, PHOENIX, AZ 85006(602) 839-3927 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Baldasare Md NPPES

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

JAKE BALDASARE MD (NPI 1023945946) is an individual student in an organized health care education/training program in Phoenix, Arizona, licensed in Arizona (R82370) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023945946
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE BALDASARECredential: MD
Location Address1300 N 12TH ST STE 508Phoenix, AZ 85006-2849
Mailing Address1300 N 12th St Ste 508Phoenix, AZ 85006-2849 · (602) 839-3927
Phone(602) 839-3927
Sole ProprietorYes
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1023945946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AZ · R82370
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 N 12TH ST STE 508, Phoenix, AZ 85006
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Baldasare Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

TREVIN REYES MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
HUGH ALESSI MD
Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
FADI JIRYIS KHOURY MD
Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
BRITTNAY MAGGIE HONG MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
DR. CECIL K BABUL
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
DR. SYDNEY KRISTIN MILLER TOWNSEND MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
DR. VICTORIA RENE RAMIREZ DO
Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
ANURIT SEKHON
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927

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 Jake Baldasare's NPI number?

The NPI number for Jake Baldasare is 1023945946. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Jake Baldasare located?

Jake Baldasare practices at 1300 N 12th St Ste 508, Phoenix, AZ 85006. The listed phone number is (602) 839-3927.

What is Jake Baldasare's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jake Baldasare enrolled in Medicare?

Yes. Jake Baldasare is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Baldasare was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.