KARL M. BAUMGARTNER MD
NPI 1174522890
Pediatrics in Mesa, AZ

Q: What is Karl Baumgartner's NPI number?

The NPI number for Karl Baumgartner is 1174522890. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Karl Baumgartner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Karl Baumgartner was last updated on January 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 14, 2005PECOS Enrolled

5131 E SOUTHERN AVE, MESA, AZ 85206(480) 833-5437(480) 833-9349 Get Directions Write a Review

NPPES record last updated: January 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Karl M. Baumgartner Md NPPES

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

KARL M. BAUMGARTNER MD (NPI 1174522890) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (22020) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174522890

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKARL M. BAUMGARTNERCredential: MD

Location Address5131 E SOUTHERN AVEMesa, AZ 85206-2799

Mailing Address3200 E Camelback Rd, Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813

Phone(480) 833-5437

Fax(480) 833-9349

Sole ProprietorNo

Enumeration DateJuly 14, 2005

Last NPPES UpdateJanuary 15, 2018

✔ NPI 1174522890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 22020

Definition

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.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 22020 (AZ)

5131 E SOUTHERN AVE, Mesa, AZ 85206

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Other Identifiers 1

Medicaid166654AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karl M. Baumgartner 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 Karl Baumgartner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group

Same address

Multi-Specialty

5131 E SOUTHERN AVE
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Phoenix Children's Hospital
1,416 clinicians in this Medicare group

NPI 1487814240 (602) 933-0002

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 13

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

DR. MICHAEL HAYNES D.O.

Pediatrics