RYAN DOUGLAS BAKER (D.O.) – Anesthesiology Physician, NPI 1194081620

RYAN DOUGLAS BAKER (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 6083 (OK). The NPI Number for RYAN DOUGLAS BAKER (D.O.) is 1194081620

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
RYAN DOUGLAS BAKER (D.O.)
NPI
1194081620
Phone
(215) 955-2370
Address
111 S 11th St
Enumeration Date
10 April 2012
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4175563729
Graduation Year
2012 (14 years ago)
PAC ID
3678796646
Group Practice PAC ID
4082908249
Professional Enrollment ID
I20241214000244
Address ID
MO648044524JO100XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,827 ANESTHESIOLOGY in PA

Provider Addresses for RYAN DOUGLAS BAKER (D.O.)

  • 111 S 11th St

    Suite 8280

    Philadelphia, PA 191074824

    Phone: (215) 955-2370

    Fax: (215) 955-0677

    Type: Location

  • 6161 S Yale Ave

    Tulsa, OK 741361902

    Phone: (918) 494-0612

    Type: Location

  • 111 S 11TH ST

    SUITE 8280

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-2370

    Fax: (215) 955-0677

    Type: Mailing

  • 6839 S CANTON AVE

    TULSA, OK 741363402

    Phone: (918) 494-0612

    Type: Mailing

  • 100 MERCY WAY

    JOPLIN, MO 648044524

    Phone: (417) 781-2727

    Type: Location

  • 6161 S YALE AVE

    TULSA, OK 741361902

    Phone: (918) 494-0612

    Type: Location

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: 2024-12-14

PECOS data refreshed: 2026-06-15

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
I20170126001020IAnesthesiologyOKTBD
I20241214000244IAnesthesiologyMOTBD

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
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1414$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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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: 4082908249View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO

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Frequently asked questions

What NPI should I save for RYAN DOUGLAS BAKER (D.O.)?
Save NPI 1194081620 if you need a stable reference for RYAN DOUGLAS BAKER (D.O.).
Is RYAN DOUGLAS BAKER (D.O.)'s NPI currently valid?
The extract we use shows RYAN DOUGLAS BAKER (D.O.) as active.
What kind of provider is RYAN DOUGLAS BAKER (D.O.)?
The page reflects Anesthesiology Physician for RYAN DOUGLAS BAKER (D.O.). Clinical services aligned with this taxonomy classification.
Does RYAN DOUGLAS BAKER (D.O.) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for RYAN DOUGLAS BAKER (D.O.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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