THEODORE D BAKER MD
NPI 1508861287
Radiology - Diagnostic Radiology in Birmingham, AL
About Theodore D Baker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE D BAKER MD (NPI 1508861287) is an individual diagnostic radiology provider in Birmingham, Alabama, licensed in Alabama (22759) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 21
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
Theodore D Baker Md 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
35Medicare enrollment records show Theodore Baker reassigns Medicare billing to 35 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 61 clinicians in this Medicare group
Birmingham, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 162 clinicians in this Medicare group
Hartselle, AL 35640
- Reassigned Medicare billing, Alabama enrollment
- 10 clinicians in this Medicare group
Anderson, SC 29621
- Reassigned Medicare billing, Alabama enrollment
- Medicare enrollment name: Diagnostic Radiology Of Anderson PA
Travelers Rest, SC 29690
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1922243674 (South Carolina)
- 754 clinicians in this Medicare group
Statesboro, GA 30458
- Reassigned Medicare billing, Alabama enrollment
- 2 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Bennettsville, SC 29512
- Reassigned Medicare billing, North Carolina enrollment
- 476 clinicians in this Medicare group
Conway, SC 29526
- Reassigned Medicare billing, Alabama enrollment
- 4 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, Alabama and North Carolina enrollments
- 2 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 59
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeast Iowa Regional Medical Center
Acute Care Hospitals · West Burlington, IASpartanburg Medical Center
Acute Care Hospitals · Spartanburg, SCMcleod Regional Medical Center-Pee Dee
Acute Care Hospitals · Florence, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35235 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
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 Theodore Baker's NPI number?
The NPI number for Theodore Baker is 1508861287. It was assigned to this individual provider in the NPPES registry on June 17, 2005.
Where is Theodore Baker located?
Theodore Baker practices at 50 Medical Park Dr E, Birmingham, AL 35235. The listed phone number is (205) 838-3435.
What is Theodore Baker's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Theodore Baker enrolled in Medicare?
Yes. Theodore Baker 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 Theodore Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Baker reassigns Medicare benefits to 35 organizations: Birmingham Radiological Group PC (Birmingham, AL), Gastroenterology Associates Of North-Central Alabama Inc (Birmingham, AL), Cullman Regional Medical Center, Inc (Hartselle, AL), Diagnostic Radiology Of Anderson, P.A. (Anderson, SC), Spartanburg Medical Center (Travelers Rest, SC) and 30 more organizations, listed in the Medicare section above. 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 Theodore Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Baker accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Kansas City, Cigna Healthcare and Oscar Health and 5 other insurers list Theodore Baker 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 Theodore Baker affiliated with any hospitals?
According to CMS data, Theodore Baker is affiliated with Southeast Iowa Regional Medical Center, Spartanburg Medical Center and Mcleod Regional Medical Center-Pee Dee.
When was this NPI record last updated?
The NPPES record for Theodore Baker was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Theodore D Baker, MD · NPI 1508861287
Diagnostic Radiology physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since June 17, 2005.
## Identity
- **NPI:** 1508861287 (Entity type: Individual)
- **Enumerated:** June 17, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 22759 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 MEDICAL PARK DR E, Birmingham, AL 35235-3401
- **Phone:** (205) 838-3435
## 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:** 35 organizations under Medicare reassignment (form CMS-855R): Birmingham Radiological Group PC (NPI 1376594192, Birmingham, AL); Gastroenterology Associates Of North-Central Alabama Inc (NPI 1528080595, Birmingham, AL); Cullman Regional Medical Center, Inc (NPI 1710640305, Hartselle, AL); Diagnostic Radiology Of Anderson, P.A. (NPI 1922125269, Anderson, SC); Spartanburg Medical Center (NPI 1477938777, Travelers Rest, SC); and 30 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Medicaid 009938773 (AL); Medicaid 009938774 (AL); Medicaid 009938777 (AL); and 18 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508861287) · Data from the CMS NPPES public registry.