Inna Baraban, PA-C

Key facts

NPI

1609326552

Entity type

Individual (NPI type 1)

Primary specialty

Surgical Physician Assistant 363AS0400X

License

PA5951 (MA)

Practice address

759 Chestnut Street
Springfield, MA 01107

Phone

(413) 794-5161

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 9

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.

• Advanced Orthopedics New England Orthopaedic Surgery Physician · Bloomfield, CT · NPI 1215086459
  Medicare reassignment Care Compare group NPD CT
• Baystate Medical Practices, Inc Emergency Medical Services (Emergency Medicine) Physician · Springfield, MA · NPI 1548205909
  Medicare reassignment Care Compare group MA
• Ortho Ma LLC Physician Assistant · Longmeadow, MA · NPI 1730913773
  Medicare reassignment Care Compare group MA
• Coastal Orthopedic Associates Inc Orthopaedic Surgery Physician · Beverly, MA · NPI 1548350945
  Medicare reassignment NPD MA
• Advanced Orthopedics New England Specialist · Rocky Hill, CT · NPI 1083905319
  Care Compare group
• Advanced Orthopedics New England Specialist · Enfield, CT · NPI 1427348770
  Care Compare group
• Advanced Orthopedics New England Durable Medical Equipment & Medical Supplies · Bloomfield, CT · NPI 1457803702
  Care Compare group
• Advanced Orthopedics New England Durable Medical Equipment & Medical Supplies · Vernon, CT · NPI 1528640836
  Care Compare group
• Coastal Orthopedic Associates Inc Orthopaedic Surgery Physician · Danvers, MA · NPI 1003507013
  NPD

Hospital & facility affiliations 2

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

• Baystate Medical Center Inc General Acute Care Hospital · Springfield, MA · NPI 1487655064
  Care Compare affiliation Hospital
• Baystate Medical Center Inc Clinical Medical Laboratory · Springfield, MA · NPI 1568488450
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedics New England (19 clinicians)
Baystate Medical Practices Inc (1,350 clinicians)
Ortho Ma LLC (16 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baystate Medical Center Hospital · Springfield, MA · CCN 220077

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in MA, CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2019.

{
    "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": []
}

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All providers in Springfield, MA · Surgical Physician Assistant in Massachusetts