Individual provider Active NPI

Natasha Baczewski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Portsmouth, NH
National Provider Identifier
1427287663
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
NH 0338 Issued in NH
Practice address
14 Manchester SQ
Ste 250
Portsmouth, NH 03801-8001
Phone
(603) 431-6070
Fax
(603) 766-0612
NPI assigned
Jul 9, 2009
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LPR00085 RI
Foot & Ankle Surgery Podiatrist 213ES0103X NH 0338 NH Primary

Addresses

Primary practice location

14 Manchester SQ
Ste 250
Portsmouth, NH 03801-8001

Mailing address

14 Manchester SQ
Portsmouth, NH 03801-8001
Phone (603) 431-6070

Other names 1

  • Natasha Leclair Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000465 NH Practitioner - Podiatry 6800043175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Foot and Ankle PLLCGroup PAC ID 9436155595, 3 clinicians

Practice addresses (Care Compare)

14 Manchester SQ
Suite 250
Portsmouth, NH 03801-8003
Phone (603) 431-6070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue84
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPR00085RIMDPodiatrist
NH 0338NHMDFoot & Ankle Surgery Podiatrist
0338NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Foot and Ankle, PLLC Podiatrist CurrentSince Jul 20, 2012 Accepting new patients

Locations

14 Manchester Sq
Ste 250
Portsmouth, NH 03801
Phone (603) 427-9904

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1427287663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MANCHESTER SQ",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018001",
            "telephone_number": "603-431-6070",
            "fax_number": "603-766-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MANCHESTER SQ",
            "address_2": "STE 250",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018001",
            "telephone_number": "603-431-6070",
            "fax_number": "603-766-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACZEWSKI",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00085",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "NH 0338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "LECLAIR",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.