ALYSON K BAKER M.D.
NPI 1417290149
Pediatrics - Pediatric Critical Care Medicine in Indianapolis, IN

NPI Status: Active since April 01, 2013

Contact Information

705 RILEY HOSPITAL DR
RI 3004
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 948-2700
Fax: (317) 948-2959

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  • Individual
  • Female
  • Years of Experience 13
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALYSON BAKER

This page provides the complete NPI Profile along with additional information for Alyson Baker, a pediatrician established in Indianapolis, Indiana with a medical specialization in Pediatrics, focusing in pediatric critical care medicine and more than 13 years of experience. She graduated from Saint Louis University School Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1417290149 assigned on April 2013. The practitioner's primary taxonomy code is 2080P0203X with license number 01076956A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1417290149
Provider Name
ALYSON K BAKER M.D.
Gender
Female
Entity Type
Individual
Location Address
705 RILEY HOSPITAL DR RI 3004 INDIANAPOLIS, IN 46202
Location Phone
(317) 948-2700
Location Fax
(317) 948-2959
Mailing Address
PO BOX 1026 INDIANAPOLIS, IN 46206
Mailing Phone
(317) 777-6435
Mailing Fax
(317) 948-2959
Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
04-01-2013
Last Update Date
11-27-2023
Code Navigator

A pediatrician like Alyson Baker is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 7150 Clearvista Dr
    Indianapolis, IN 46256
    (317) 621-6262

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

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
01076956A
License State
IN
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LC0200XAllopathic & Osteopathic Physicians

Anesthesiology
Critical Care Medicine

01076956A (IN)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

01076956 (IN)
3208M00000XAllopathic & Osteopathic Physicians

Hospitalist

01076956A (IN)

Insurance Plans Accepted

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

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
300003297MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Alyson 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.

Alyson 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: 3476864422

    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: I20210826001759

    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 ALYSON K 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 1417290149, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 2 → 4 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 4 + 9 + 0 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1417290149.

Other Providers at the Same Location


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

Pediatrics (Pediatric Rheumatology)
705 RILEY HOSPITAL DR, RR 307
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Hematology-Oncology)
705 RILEY HOSPITAL DR, ROC 4340
INDIANAPOLIS, IN 46202
Pediatrics (Adolescent Medicine)
705 RILEY HOSPITAL DR, MSA 2
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Social Worker
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Psychologist (Clinical Child & Adolescent)
705 RILEY HOSPITAL DR, RI 5837
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Gastroenterology)
705 RILEY HOSPITAL DR, ROC 4210
INDIANAPOLIS, IN 46202
Otolaryngology
705 RILEY HOSPITAL DR, SUITE 0860
INDIANAPOLIS, IN 46202
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR, RR 208
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR, STE 1721
INDIANAPOLIS, IN 46202
Audiologist (Assistive Technology Practitioner)
705 RILEY HOSPITAL DR, 0860
INDIANAPOLIS, IN 46202
Otolaryngology
705 RILEY HOSPITAL DR, 0860
INDIANAPOLIS, IN 46202
Pediatrics (Developmental - Behavioral Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Critical Care Medicine)
705 RILEY HOSPITAL DR, RI 2117
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Critical Care Medicine)
705 RILEY HOSPITAL DR, ROC 4270
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Hematology-Oncology)
705 RILEY HOSPITAL DR, ROC 4340
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Hematology-Oncology)
705 RILEY HOSPITAL DR, ROC 4340
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Endocrinology)
705 RILEY HOSPITAL DR, RI 5960
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Infectious Diseases)
705 RILEY HOSPITAL DR, ROC 4380
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Critical Care Medicine)
705 RILEY HOSPITAL DR, ROC 4270
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417290149, enumerated as an "individual" on April 01, 2013.

The provider is located at 705 RILEY HOSPITAL DR RI 3004 INDIANAPOLIS, IN 46202 and the phone number is (317) 948-2700.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.