DR. REBECCA YAEL BAK M.D.
NPI 1649565086
Family Medicine in Kirtland Afb, NM
About Dr. Rebecca Yael Bak M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REBECCA YAEL BAK M.D. (NPI 1649565086) is an individual family medicine provider in Kirtland Afb, New Mexico, licensed in New Mexico (MD2016-0537) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Zuni.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rebecca Yael Bak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Rebecca Bak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jemez Pueblo, NM 87024
- Reassigned Medicare billing, Texas enrollment
- 38 clinicians in this Medicare group
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Zuni, NM 87327
- Reassigned Medicare billing, Texas enrollment
- 103 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87117
KIRTLAND AFB, NM 87117
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 Rebecca Bak's NPI number?
The NPI number for Rebecca Bak is 1649565086. It was assigned to this individual provider in the NPPES registry on June 14, 2011.
Where is Rebecca Bak located?
Rebecca Bak practices at 2050A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3200.
What is Rebecca Bak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rebecca Bak enrolled in Medicare?
Yes. Rebecca Bak is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rebecca Bak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Bak reassigns Medicare benefits to 3 organizations: Pueblo Of Jemez (Jemez Pueblo, NM), Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM) and Zuni Indian Hospital (Zuni, NM). 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 Rebecca Bak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebecca Bak was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Rebecca Yael Bak, M.D. · NPI 1649565086
Family Medicine physician in Kirtland Afb, New Mexico. Individual provider, active in the CMS NPPES registry since June 14, 2011.
## Identity
- **NPI:** 1649565086 (Entity type: Individual)
- **Enumerated:** June 14, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD2016-0537 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2050A 2ND ST SE, Kirtland Afb, NM 87117-0467
- **Phone:** (505) 846-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pueblo Of Jemez (NPI 1417082215, Jemez Pueblo, NM); Dhhs,phs,naihs,gallup Indian Medical Center (NPI 1245409960, Gallup, NM); Zuni Indian Hospital (NPI 1497843734, Zuni, NM) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2024
- **Other identifiers:** Medicaid 36125342 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1649565086) · Data from the CMS NPPES public registry.