CMS-1500 Box 24J / 33a • NPI
1780838789
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2083A0100X (CMS 84)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine
Box 32 Service Location & ZIP+4
55 N WOLFE AVE, EDWARDS AFB, CA, 93524-6201
✓ 9-Digit EDI 837 ZIP+4 (93524-6201)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780838789 (NISHA RAY BAUR, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780838789 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NISHA RAY BAUR, DO |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine NUCC Code: 2083A0100X (Preventive Medicine, Aerospace Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 55 N WOLFE AVE, EDWARDS AFB, CA, 93524-6201 |
| Practice Telephone / Fax | Tel: (661) 275-2573 |
| Administrative Mailing Address | 7612 S 2800 E, SOUTH WEBER, UT, 84405-9627 |
| Enumeration & Last Sync | Enumerated: 2008-11-05 | CMS Record Updated: 2026-01-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2083A0100X)
What Does Taxonomy Code 2083A0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083A0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NISHA RAY BAUR, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: UT | License: 7152185-1204 | Primary: Secondary |
208D00000X — General PracticePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice | State: UT | License: 7152185-1204 | Primary: Secondary |
2083A0100X — Preventive Medicine, Aerospace MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine | State: UT | License: 7152185-1204 | Primary: Yes (Primary) |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: UT | License: FB1143647 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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