DR. PHILIP LUKE BAESE M.D. NPI 1184669848

NPI Information

  • NPI: 1184669848
  • Provider Name: DR. PHILIP LUKE BAESE, M.D.
  • Classification: Psychiatry & Neurology - 2084P0005X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 650 KOMAS DR
    200
    SALT LAKE CITY, UT
    ZIP 84108
  • Phone: (801) 581-5515

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NPI Details

DR. Philip Luke Baese, M.D. is a neurodevelopmental disabilities psychiatry neurology in Salt Lake City, UT with 28 years of experience. The provider is a neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. DR. Philip Luke Baese, M.D. NPI is 1184669848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1997

The provider's business location address is:

650 KOMAS DR
200
SALT LAKE CITY, UT
ZIP 84108-229
Phone: (801) 581-5515

The NPI 1184669848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities363340-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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