Active NPI
Larry Baggett
- Podiatrist
- Memphis, TN
National Provider Identifier
1437278397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM285
- Practice address
- 3794 Park Ave
Memphis, TN 38111-6649 - Phone
- (901) 323-7970
- Fax
- (901) 323-0061
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM285 | TN | Primary |
Addresses
Primary practice location
3794 Park Ave
Memphis, TN 38111-6649
Mailing address
3794 Park Ave
Memphis, TN 38111-6649
Phone (901) 323-7970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3351088 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000339 | TN | Practitioner - Podiatry | 3274658315 | Practice locations: Memphis, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3794 Park Ave
Memphis, TN 38111-6649
Phone (901) 323-7970
3794 Park Aveue
Memphis, TN 38111-6649
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM285 | TN | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1437278397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3794 PARK AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381116649",
"telephone_number": "901-323-7970",
"fax_number": "901-323-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3794 PARK AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381116649",
"telephone_number": "901-323-7970",
"fax_number": "901-323-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGETT",
"first_name": "LARRY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "DPM285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351088",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.