DAVID BALDWIN JR. M.D.
NPI 1386601508
Internal Medicine - Endocrinology, Diabetes & Metabolism in Michigan City, IN

Q: What is David Baldwin's NPI number?

The NPI number for David Baldwin is 1386601508. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is David Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for David Baldwin was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 01, 2006PECOS EnrolledAccepts Medicare Assignment

1225 E COOLSPRING AVE STE 2C, MICHIGAN CITY, IN 46360(219) 877-1298(219) 877-1016 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2023, Mar 24, 2021, Jul 17, 2019 (3 updates tracked since 2019).

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About David Baldwin Jr. M.d. NPPES

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

DAVID BALDWIN JR. M.D. (NPI 1386601508) is an individual endocrinology, diabetes & metabolism provider in Michigan City, Indiana, licensed in Indiana (01076580A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1981).

NPPES Registry Identity

NPI1386601508

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDAVID BALDWIN JR.Credential: M.D.

Location Address1225 E COOLSPRING AVE STE 2CMichigan City, IN 46360-6312

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 877-1298

Fax(219) 877-1016

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1981

Enumeration DateMay 1, 2006

Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2023

✔ NPI 1386601508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in IN · 01076580A✔ Licensed in IL · 036-068790

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1225 E COOLSPRING AVE STE 2C, Michigan City, IN 46360

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Other Identifiers 1

Medicaid300000058IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Baldwin Jr. M.d. 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.

PECOS PAC ID2163485038

PECOS Enrollment IDI20170126002486

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

5 suppliers40 claims517 services$17.80 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

5 suppliers36 claims1,124 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

29 suppliers84 claims430 services$6.01 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers26 claims51 services$1.09 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers17 claims17 services$297.45 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

6 suppliers34 claims2,470 services$7.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HASAN M QUTOB MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1225 E COOLSPRING AVE STE 2C
MICHIGAN CITY, IN 46360

Laporte County (219) 877-1298

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 David Baldwin's NPI number?

The NPI number for David Baldwin is 1386601508. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is David Baldwin located?

David Baldwin practices at 1225 E Coolspring Ave Ste 2C, Michigan City, IN 46360. The listed phone number is (219) 877-1298.

What is David Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is David Baldwin enrolled in Medicare?

Yes. David Baldwin 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.

What insurance does David Baldwin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list David Baldwin 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.

When was this NPI record last updated?

The NPPES record for David Baldwin was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.