Active NPI
Alexander Baaklini, DO
- Family Medicine Physician
- Wallingford, CT
National Provider Identifier
1194256503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 66564
- Practice address
- 950 Yale Ave
Wallingford, CT 06492-1858 - Phone
- (203) 265-9600
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 66564 | CT | Primary |
Addresses
Primary practice location
950 Yale Ave
Wallingford, CT 06492-1858
Mailing address
263 Farmington Ave
Farmington, CT 06032-1956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201020001571 | CT | Practitioner - Family Practice | 9133491251 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Family Medicine | Current | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
950 Yale Ave
Wallingford, CT 06492
Phone (203) 265-9600
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- alexander.baaklini.npi1194256503.phpct@direct.optumcare.masshiway.net
Organizations & group practices 1
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
Long-term care hospital
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- Home Health Agency
- Wallingford, CT
- NPI 1710976220
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prohealth Physicians PC
Practice addresses (Care Compare)
950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 269-3170
Hospital & facility affiliations
- Masonicare Home Health & Hospice, Inc
- Hartford Healthcare at Home
- Yale-New Haven Hospital
- Midstate Medical Center
- Gaylord Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1194256503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 YALE AVE",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921858",
"telephone_number": "203-265-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAAKLINI",
"first_name": "ALEXANDER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "66564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.