MEDICARE: RICHELLE M BAKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	DR.0076512	CO
2	208M00000X	Hospitalist Physician	01073934A	IN
3	208M00000X	Hospitalist Physician	DR.0076512	CO
4	208000000X	Pediatrics Physician	01073934	IN

General Provider Information

NPI Number	:	1528359858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHELLE M BAKER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 719094
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-3815
Country	:	US
Telephone Number	:	317-777-6435
Fax Number	:	317-777-6644

Provider Business Practice Location Address
First Line	:	13123 E 16TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80045-7106
Country	:	US
Telephone Number	:	720-777-1234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2011
Last Update Date	:	02/06/2026

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