DR. MICHAEL JOHN BABA .D.O.
NPI 1356570428
Family Medicine in Wind Gap, PA
About Dr. Michael John Baba .d.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JOHN BABA .D.O. (NPI 1356570428) is an individual family medicine provider in Wind Gap, Pennsylvania, licensed in Pennsylvania (OS017181) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael John Baba .d.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Baba reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wind Gap, PA 18091
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Wind Gap, PA 18091
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 153 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lehigh Valley Hospital
Acute Care Hospitals · Allentown, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18091 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Baba's NPI number?
The NPI number for Michael Baba is 1356570428. It was assigned to this individual provider in the NPPES registry on July 9, 2009.
Where is Michael Baba located?
Michael Baba practices at 487 E Moorestown Rd Suite #101, Wind Gap, PA 18091. The listed phone number is (484) 526-7888.
What is Michael Baba's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Baba enrolled in Medicare?
Yes. Michael Baba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michael Baba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baba reassigns Medicare benefits to 4 organizations: St. Luke's Physician Group, Inc. (Wind Gap, PA), Lehigh Valley Physician Group (Wind Gap, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Family Care Centers Inc (East Stroudsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Baba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Baba accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Michael Baba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Michael Baba affiliated with any hospitals?
According to CMS data, Michael Baba is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.
When was this NPI record last updated?
The NPPES record for Michael Baba was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Michael John Baba, .D.O. · NPI 1356570428
Family Medicine physician in Wind Gap, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 9, 2009.
## Identity
- **NPI:** 1356570428 (Entity type: Individual)
- **Enumerated:** July 9, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS017181 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 487 E MOORESTOWN RD, SUITE #101, Wind Gap, PA 18091-9662
- **Phone:** (484) 526-7888 · **Fax:** (484) 526-6998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group, Inc. (NPI 1063463701, Wind Gap, PA); Lehigh Valley Physician Group (NPI 1275285223, Wind Gap, PA); St. Luke's Warren Physician Group, PC (NPI 1578041174, Phillipsburg, NJ); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2009
## Record status
- **NPPES last updated:** April 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1356570428) · Data from the CMS NPPES public registry.