Individual provider Active NPI

Danny Baghdan

  • Student in an Organized Health Care Education/Training Program
  • Burr Ridge, IL
National Provider Identifier
1497457675
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6 Arcadia CT
Burr Ridge, IL 60527-0701
Phone
(630) 991-6517
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125.082318 IL
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

6 Arcadia CT
Burr Ridge, IL 60527-0701

Mailing address

6 Arcadia CT
Burr Ridge, IL 60527-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20230801000642 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9436510948

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8558 Broadway
Merrillville, IN 46410-7032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125.082318ILMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1497457675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ARCADIA CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ARCADIA CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270701",
            "telephone_number": "630-991-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHDAN",
        "first_name": "DANNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.082318",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.