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SYLVAN BACA MD, PHD
NPI 1730560947
Internal Medicine in Boston, MA

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sylvan Baca Md, Phd NPPES

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

SYLVAN BACA MD, PHD (NPI 1730560947) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (263896) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Harvard Medical School (2015).

NPPES Registry Identity

NPI1730560947
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSYLVAN BACACredential: MD, PHD
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address450 Brookline AveBoston, MA 02215-5418 · (617) 632-3466 · Fax (617) 632-2165
Phone(617) 732-5500
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1730560947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 263896
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
75 FRANCIS ST, Boston, MA 02115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Sylvan Baca Md, Phd 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 ID8729395124
PECOS Enrollment IDI20200505002465
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

RUMA RAJBHANDARI
Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 525-6841
WENYA LINDA BI
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (203) 645-9485
CHI YUEN CHAN M.D.
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500
JENNIFER MICHELLE THOMAS MD
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Suffolk County (617) 732-6248
GAURAV SHARMA M.D.
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (951) 259-0890
DR. EUGENE RICHARDSON MD
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-8881
YEU-SHIN CINDY CHANG M.D., M.P.H.
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Suffolk County (617) 732-8070
CARA L RICHARDS
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500

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 Sylvan Baca's NPI number?

The NPI number for Sylvan Baca is 1730560947. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Sylvan Baca located?

Sylvan Baca practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Sylvan Baca's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sylvan Baca enrolled in Medicare?

Yes. Sylvan Baca 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 Sylvan Baca accept?

Health plans from Anthem Blue Cross and Blue Shield list Sylvan Baca 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 Sylvan Baca affiliated with any hospitals?

According to CMS data, Sylvan Baca is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Sylvan Baca was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.