Irtza Badar, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH
NPI 1255075321 · NPPES record last updated Jul 4, 2025
Key facts
- NPI
- 1255075321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 695-2500
- NPI assigned
- Apr 25, 2022
- Reactivated
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907002427 | PA | Order and Referring Only - Internal Medicine |
6507220696 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Other practice location 1
1500 Lansdowne Avenue
Darby, PA 19023
Phone (610) 237-4684
Other providers in Lebanon, NH
- Matthew R Babineau
- Remy Bacaicoa
- Sheilla Marie Bachelder
- Elliot Dean Backer
- Miranda Anne Bacon
- Naomi J Badger
- Barbara C. Badgley
- Krystal Elizabeth Badillo Regan
- Howard Badillo
- David D Bae
All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.