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YVONNE BAUM M.D., P.A.
NPI 1659469773
Specialist in Tyler, TX

Active since October 11, 2006CLIA 45D1080730 · Waiver
700 OLYMPIC PLAZA CIR, SUITE 912, TYLER, TX 75701(903) 596-3808(903) 561-0836 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yvonne Baum M.d., P.a. NPPES

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

YVONNE BAUM M.D., P.A. (NPI 1659469773) is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Yvonne Baum, Owner, as its authorized official.

NPPES Registry Identity

NPI1659469773
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameYVONNE BAUM M.D., P.A.
Location Address700 OLYMPIC PLAZA CIR, SUITE 912Tyler, TX 75701-1951
Mailing Address700 Olympic Plaza Cir, Suite 912Tyler, TX 75701-1951 · (903) 596-3808 · Fax (903) 561-0836
Phone(903) 596-3808
Fax(903) 561-0836
Organization SubpartNo
Authorized OfficialYvonne BaumOwner · (903) 596-3808
Enumeration DateOctober 11, 2006
Last NPPES UpdateJune 24, 2014
✔ NPI 1659469773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J6823
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
700 OLYMPIC PLAZA CIR, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 3

Medicaid171295201TX
Medicare PIN00110YTX
Other0078MGTX · Bcbs Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yvonne Baum M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Yvonne Baum M.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Yvonne Baum, M.D.
Internal Medicine
NPI 1679572614
700 OLYMPIC PLAZA CIR SUITE 912
Tyler, TX 75701
(903) 596-3808
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1080730

Yvonne Baum MD PA · Tyler, TX
Active · expires Feb 28, 2028
CLIA Number45D1080730
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorYvonne Baum, MD PA
Laboratory Phone(903) 596-3808
Laboratory LocationYvonne Baum MD PA700 Olympic Plaza Ste 912, Tyler, TX 75701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Yvonne Baum M.D., P.A.'s NPI number?

The NPI number for Yvonne Baum M.D., P.A. is 1659469773. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Yvonne Baum M.D., P.A. located?

Yvonne Baum M.D., P.A. is located at 700 Olympic Plaza Cir Suite 912, Tyler, TX 75701. The listed phone number is (903) 596-3808.

What is Yvonne Baum M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Yvonne Baum M.D., P.A. enrolled in Medicare?

Yes. Yvonne Baum M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yvonne Baum M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Yvonne Baum M.D., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Yvonne Baum M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1080730) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Yvonne Baum M.D., P.A. was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.