Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558943456 Individual Practitioner Female Practitioner

Dr. Blake A Bauer , MD

Internal Medicine • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Blake Bauer, MD is a registered healthcare professional specializing in Internal Medicine in Bronx, NY. Practice services are available at 111 E 210TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7189204321
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1016 Specialists

Practicing in Bronx, NY (12979 Statewide)

Telehealth Adoption Rate
16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-09
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 330911

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jiae Lee , MD

Psychiatry & Neurology - Neurology

NPI 1003262916

Doctor of Medicine (M.D.)

NPI 1003340456

Doctor of Medicine (M.D.)

Telisha Mclean

Nurse Practitioner - Family

NPI 1003359910
Shivaditya Choudhury

Anesthesiology

NPI 1003377490
Johanna Tan

Student in an Organized Health Care Education/Training Program

NPI 1003436999
NPI 1003437310

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 24, 2024

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address June 24, 2024

Registered at 3411 WAYNE AVE, BRONX, NY 104672509

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Internal Medicine (License #330911 in NY)

NPI Profile Active April 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2021

Registered at 355 BARD AVE FL 1, STATEN ISLAND, NY 103101664 (Tel: 7188182419)

📍
Updated Business Mailing Address April 21, 2021

Registered at 355 BARD AVE FL 1, STATEN ISLAND, NY 103101664 (Tel: 7188182419)

👤
Provider Name / Credentials Updated April 21, 2021

Recorded as BLAKE BAUER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558943456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2021
Last Update: July 09, 2024
Sole Proprietor: No

Mailing Address

3411 Wayne Ave

Bronx, NY 104672509

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.