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Dr. Karl M. Baumgartner , MD

Pediatrics β€’ Mesa, AZ

Active NPI 1174522890 Individual Practitioner Male Practitioner
Practice location in NPPES

5131 E Southern Ave
Mesa, AZ 852062799

Call 4808335437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5131 E Southern Ave

Mesa, AZ 852062799

Telephone 4808335437
Fax 4808339349
Organization at the Same NPPES Address or Phone
Phoenix Children's Medical Group Facility NPI 1487814240

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Baumgartner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Baumgartner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mesa and Arizona

62 active clinicians are listed under Pediatrics with a practice address in Mesa, AZ (1,310 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

0% of these 62 clinicians have the CMS telehealth indicator.

3.2% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES AZ 22020

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

License # reported to NPPES AZ 22020

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
166654 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20130702000601

Enrollment State Jurisdiction

AZ

PECOS Control ID

4082853528

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Sanjay Shah , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1740263474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address January 15, 2018

Registered at 3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 850182327 (Tel: 6029331813)

πŸ“
Updated Practice Location January 15, 2018

Registered at 5131 E SOUTHERN AVE, MESA, AZ 852062799 (Tel: 4808335437)

πŸ‘€
Provider Name / Credentials Updated January 15, 2018

Recorded as KARL BAUMGARTNER, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Pediatrics (license number reported to NPPES: AZ 22020)

βœ…
NPI Profile Active June 24, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2013

Registered at 5131 E SOUTHERN AVE, MESA, AZ 852062799 (Tel: 4808335437)

πŸ“
Business Mailing Address (Initial Record) June 24, 2013

Registered at 1919 E THOMAS RD BLDG 2108, STE 101, PHOENIX, AZ 850167710 (Tel: 6025128029)

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2013

Recorded as KARL BAUMGARTNER, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2013

Pediatrics (license number reported to NPPES: AZ 22020)

🟒
Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174522890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2005
Last Update: January 15, 2018
Sole Proprietor: No

Other Pediatrics Specialists in Mesa

Healthcare providers in Mesa

Mailing Address

3200 E Camelback Rd, Ste 250

Phoenix, AZ 850182327

Phone: 6029331813

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.