SAMANTHA JOANN BAKER M.D.
NPI 1215314067
Surgery - Trauma Surgery in Birmingham, AL

NPI Status: Active since April 30, 2015

Contact Information

619 19TH ST S
BIRMINGHAM, AL
ZIP 35249
Phone: (205) 975-3288

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  • Individual
  • Female
  • Years of Experience 11
  • Surgery
  • Trauma Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMANTHA BAKER

This page provides the complete NPI Profile along with additional information for Samantha Baker, a provider established in Birmingham, Alabama with a medical specialization in Surgery, focusing in trauma surgery and more than 11 years of experience. She graduated from Louisiana State University School Of Medicine In New Orleans in 2015. The healthcare provider is registered in the NPI registry with number 1215314067 assigned on April 2015. The practitioner's primary taxonomy code is 2086S0127X with license number MD.35538 (AL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1215314067
Provider Name
SAMANTHA JOANN BAKER M.D.
Gender
Female
Entity Type
Individual
Location Address
619 19TH ST S BIRMINGHAM, AL 35249
Location Phone
(205) 975-3288
Mailing Address
619 19TH ST S BIRMINGHAM, AL 35249
Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
04-30-2015
Last Update Date
09-23-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Trauma Surgery

Taxonomy Code
2086S0127X
Type
Allopathic & Osteopathic Physicians
License No.
MD.35538
License State
AL
Taxonomy Description
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Samantha Baker is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Samantha Baker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224340625

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241122000076

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SAMANTHA JOANN BAKER M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215314067, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 6 + 1 + 8 + 0 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1215314067.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Dentist (Oral and Maxillofacial Surgery)
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Addiction Medicine)
619 19TH ST S
BIRMINGHAM, AL 35249
Psychiatry & Neurology (Psychiatry)
619 19TH ST S
BIRMINGHAM, AL 35249
Social Worker
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Cardiovascular Disease)
619 19TH ST S
BIRMINGHAM, AL 35249
Plastic Surgery
619 19TH ST S
BIRMINGHAM, AL 35249
Obstetrics & Gynecology (Gynecologic Oncology)
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Gastroenterology)
619 19TH ST S
BIRMINGHAM, AL 35249
Optometrist
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Transplant Surgery
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Hematology & Oncology)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Anesthetist, Certified Registered
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215314067, enumerated as an "individual" on April 30, 2015.

The provider is located at 619 19TH ST S BIRMINGHAM, AL 35249 and the phone number is (205) 975-3288.

Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.