Deborah A Baceski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD020766E Issued in PA

Practice address

105 W Church St
Somerset, PA 15501-2251

Phone

(814) 443-1451

Fax

(814) 444-8100

NPI assigned

Nov 3, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drbaceski@db.ssdirect.aprima.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134110588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CHURCH ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012251",
            "telephone_number": "814-443-1451",
            "fax_number": "814-444-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CHURCH ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012251",
            "telephone_number": "814-443-1451",
            "fax_number": "814-444-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACESKI",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD020766E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110031490",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "25-1381943",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "251381943",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN WEST",
            "identifier": "000153392",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "BA153392",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann G Smith M.D.,P.C.
• Antoinette L Botti OD
• Area Agency on Aging of Somerset County
• Alexander Ash, CRNA
• Vann Angel Auxtero, BSN, RN, PMH-BC
• Rajesh R Bajpai, MD, MCH
• Alicia Barron, REGISTERED NURSE
• Leisa Barth, LCSW
• Tammie L Basala, DOCTOR OF PT
• Paul G Battaglia, MD

• Internal Medicine Physician in Somerset, PA
• Providers in Somerset, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.