DR. JAE BAEK MD
NPI 1073257796
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 27, 2022PECOS Enrolled
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8000 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jae Baek Md NPPES

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

DR. JAE BAEK MD (NPI 1073257796) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073257796
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JAE BAEKCredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address2875 Olentangy River Rd Apt 349Columbus, OH 43202-3505
Sole ProprietorNo
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1073257796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
410 W 10TH AVE, Columbus, OH 43210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jae Baek 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.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Jae Baek's NPI number?

The NPI number for Jae Baek is 1073257796. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Jae Baek located?

Jae Baek practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.

What is Jae Baek's specialty?

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

Is Jae Baek enrolled in Medicare?

Yes. Jae Baek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Baek was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.