Individual provider Active NPI

Inna Baraban, PA-C

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1609326552
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA5951 Issued in MA
Practice address
759 Chestnut Street
Springfield, MA 01107
Phone
(413) 794-5161
NPI assigned
Oct 4, 2016
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3673 CT
Surgical Physician Assistant 363AS0400X 1433 NH
Surgical Physician Assistant 363AS0400X PA5951 MA Primary

Addresses

Primary practice location

759 Chestnut Street
Springfield, MA 01107

Mailing address

280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

77 Herrick St
Suite 201
Beverly, MA 01915-2734
Phone (978) 927-3040

Other practice location 2

77 Herrick St
Suite 201
Beverly, MA 01915-2734
Phone (978) 927-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170109000256 MA Practitioner - Physician Assistant 4981985835 Reassigns benefits to 3 organizations
I20210712002552 CT Practitioner - Physician Assistant 4981985835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics New EnglandGroup PAC ID 9335108547, 19 clinicians
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Ortho Ma LLCGroup PAC ID 8729515507, 16 clinicians

Practice addresses (Care Compare)

224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000

40 Wright St
Palmer, MA 01069-1138
Phone (413) 370-5356

53 Southampton Rd
Westfield, MA 01085-1786
Phone (413) 335-2606

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5951MAMDSurgical Physician Assistant
1433NHMDSurgical Physician Assistant
003673CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc CurrentSince Nov 28, 2016 Accepting new patients
Advanced Orthopedics New England CurrentSince Jul 1, 2021 Accepting new patients
Advanced Orthopedics New England CurrentSince Jul 1, 2021 Accepting new patients
Coastal Orthopedic Associates Inc CurrentSince Nov 28, 2016 Accepting new patients

Locations

35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000

113 Elm St
Ste 101
Enfield, CT 06082
Phone (860) 253-0276

1000 Asylum Ave
Ste 2126
Hartford, CT 06105
Phone (860) 242-3000

77 Herrick St
Ste 201
Beverly, MA 01915
Phone (978) 927-3040

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

Interoperability endpoints

  • Direct secure messaging: inna.baraban.1@27677.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1609326552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700",
            "fax_number": "413-794-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-794-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Herrick St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019152734",
            "country_code": "US",
            "telephone_number": "978-927-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Herrick St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019152734",
            "country_code": "US",
            "telephone_number": "978-927-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARABAN",
        "first_name": "INNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3673",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1433",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA5951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.