EWA B BAK (M.D.) – Internal Medicine Physician, NPI 1336185339

EWA B BAK (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 36870 (KY). The NPI Number for EWA B BAK (M.D.) is 1336185339

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
EWA B BAK (M.D.)
NPI
1336185339
Phone
(859) 276-4486
Address
1401 Harrodsburg Rd
Enumeration Date
20 June 2006
Last Update Date
16 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2162972073
Graduation Year
1999 (27 years ago)
PAC ID
7315091410
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20130226000268
Address ID
OH441216100SO1611XRDXX401
Telehealth
Yes

Contacts

Secure Messaging
ewabak@uhps.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,216 INTERNAL MEDICINE in KY

Provider Addresses for EWA B BAK (M.D.)

  • 1401 Harrodsburg Rd

    Suite B-160

    Lexington, KY 405043751

    Phone: (859) 276-4486

    Fax: (859) 277-9164

    Type: Location

  • 1611 S GREEN RD STE 260

    SOUTH EUCLID, OH 441214192

    Phone: (216) 297-2059

    Fax: (216) 297-2066

    Type: Mailing

  • 1401, Harrodsburg Road, Headly Green, Lexington, Fayette County, Kentucky, 40504, United States

    SUITE B-160

    LEXINGTON, KY 405043751

    Phone: (859) 276-4486

    Fax: (859) 277-9164

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 120 Open Payments records for all available years, with a total value of $2,449.

Total Amount is formed as General ($2,449) + Research ($0) + Ownership ($0) = $2,449.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($312).

Total Amount

$2,449

General + Research + Ownership

Payments

120

Total payment records

General Amount

$2,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130226000268IInternal MedicineOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes398241$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit173173$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report154151$0
99213Established patient office or other outpatient visit, 20-29 minutes4743$0
G0008Administration of influenza virus vaccine4241$0
View full utilization report →

Insurance plans in this area (ZIP 40504)

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Provider's Procedures

EWA B BAK (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY81002Urinalysis, manual test142119

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: 3072417534View full group profile

Reviews

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Frequently asked questions

What NPI should I save for EWA B BAK (M.D.)?
Save NPI 1336185339 if you need a stable reference for EWA B BAK (M.D.).
Does this profile mean EWA B BAK (M.D.) is currently active?
Yes — EWA B BAK (M.D.) appears active in the national provider directory.
What does EWA B BAK (M.D.) treat or focus on?
Patients typically see EWA B BAK (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is EWA B BAK (M.D.)'s primary listing?
We display Lexington, Kentucky because that is what the record indicates for EWA B BAK (M.D.).
What if Lexington, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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