JOE BLUNT IV BAKER (M.D.) – Vascular & Interventional Radiology Physician, NPI 1265756233

JOE BLUNT IV BAKER (M.D.) is a healthcare provider. based in Wilmette, Illinois. specializing in Vascular & Interventional Radiology Physician. They hold the professional credentials M.D.. They hold a License No. R1929 (TX). The NPI Number for JOE BLUNT IV BAKER (M.D.) is 1265756233

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JOE BLUNT IV BAKER (M.D.)
NPI
1265756233
Phone
(505) 715-7477
Address
817 CENTRAL AVE
Enumeration Date
19 March 2010
Last Update Date
16 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
5124857199
Graduation Year
2010 (16 years ago)
PAC ID
2668613860
Group Practice PAC ID
4880686179
Professional Enrollment ID
I20170613000581
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

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Provider Addresses for JOE BLUNT IV BAKER (M.D.)

  • 817 CENTRAL AVE

    WILMETTE, IL 600912605

    Phone: (505) 715-7477

    Type: Mailing

  • 12554, Riata Vista Circle, Apple, Austin, Travis County, Texas, 78727, United States

    AUSTIN, TX 787276431

    Phone: (512) 795-5100

    Fax: (512) 795-5122

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170613000581IDiagnostic RadiologyTXTBD
I20211029001546IInterventional RadiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60091)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880686179View full group profile

Reviews

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Frequently asked questions

What identifier follows JOE BLUNT IV BAKER (M.D.) across health systems?
The NPI 1265756233 uniquely identifies JOE BLUNT IV BAKER (M.D.) in U.S. healthcare data.
Is JOE BLUNT IV BAKER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists JOE BLUNT IV BAKER (M.D.) as active.
What services align with JOE BLUNT IV BAKER (M.D.)'s listing?
JOE BLUNT IV BAKER (M.D.)'s public classification highlights Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOE BLUNT IV BAKER (M.D.)?
JOE BLUNT IV BAKER (M.D.) is associated with Wilmette, Illinois in the same public data insurers reference.
Who maintains JOE BLUNT IV BAKER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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