Elmo William Baldassari, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC003666L Issued in PA

Practice address

1439 Monroe Ave Ste 3
Dunmore, PA 18509-2497

Phone

(570) 963-1974

Fax

(570) 963-0762

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Regional Foot & Ankle Center PC

  • Foot & Ankle Surgery Podiatrist
  • Dunmore, PA
  • NPI 1487826905
  Medicare reassignment NPD Authorized official
• The Wright Center Medical Group

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1194739979
  Medicare reassignment NPD
• The Wright Center Medical Group

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1649836941
  NPD
• Shaikh Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Tobyhanna, PA
  • NPI 1396932638
  NPD (past)

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

• Community Medical Center

  • Clinic/Center
  • Scranton, PA
  • NPI 1285032128

  Hospital

  Care Compare affiliation
• Community Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Scranton, PA
  • NPI 1306439856

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  Care Compare affiliation
• Community Medical Center

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1770960130

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1972652063
  Care Compare affiliation
• Geisinger Mt Pleasant Imaging, a Service of Geisinger Comm Med Center

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1467850149

  Hospital

  Care Compare affiliation
• Geisinger View Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1548648272

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1124405592

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Physical Therpy, a Service of GCMC

  • Physical Therapy Clinic/Center
  • Scranton, PA
  • NPI 1336526276

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Sleep Center, a Service of GCMC

  • Sleep Disorder Diagnostic Clinic/Center
  • Scranton, PA
  • NPI 1417334350

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation
• Scranton Hospital Company LLC

  • Ambulatory Surgical Clinic/Center
  • Scranton, PA
  • NPI 1740566595

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1497799415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 MONROE AVE STE 3",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092497",
            "telephone_number": "570-963-1974",
            "fax_number": "570-963-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 MONROE AVE STE 3",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092497",
            "telephone_number": "570-963-1974",
            "fax_number": "570-963-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDASSARI",
        "first_name": "ELMO",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003666L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480024264",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016528000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audibel of Nepa
• Lisa Diane Avrich
• Madhava Baikadi, M.D.
• Kiyana Baker
• Indiran Balavinayagam, M.D
• Mia Cara Baldassari
• Carl Barsigian, MD
• Ceil Bartolai, LCSW
• Kevin Beltre, M.D.
• Karen Olivia Benjamin-Hamlet, LCSW

• Foot & Ankle Surgery Podiatrist in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.