DOUGLAS RAWLING BALDWIN MD
NPI 1104853092
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Saint Paul, MN

Q: What is Douglas Baldwin's NPI number?

The NPI number for Douglas Baldwin is 1104853092. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Douglas Baldwin's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Baldwin was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 27, 2006PECOS Enrolled

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-2987(651) 254-1603 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2021, Jun 15, 2020, Sep 19, 2016 (3 updates tracked since 2016).

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About Douglas Rawling Baldwin Md NPPES

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

DOUGLAS RAWLING BALDWIN MD (NPI 1104853092) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Saint Paul, Minnesota, licensed in Minnesota (36943) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104853092

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDOUGLAS RAWLING BALDWINCredential: MD

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516

Phone(651) 254-2987

Fax(651) 254-1603

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration

NPPES CertifiedMarch 9, 2021

✔ NPI 1104853092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MN · 36943

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

640 JACKSON ST, Saint Paul, MN 55101

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Other Identifiers 1

Other36943MN · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Rawling Baldwin 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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Group Health, Inc.

1.3 mi

Pediatric Dentistry

205 WABASHA ST S
Saint Paul, MN 55107

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1801941943 (651) 227-3757

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

63 services63 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

32 services32 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

19 services19 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine