Individual provider Active NPI

Sanvir Baadh

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1669020780
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LE-00029667 Issued in OH
Practice address
2813 Ingleside Dr
Parma, OH 44134-2917
Phone
(440) 429-3762
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LE-00029667 OH Primary

Addresses

Primary practice location

2813 Ingleside Dr
Parma, OH 44134-2917

Mailing address

2813 Ingleside Dr
Parma, OH 44134-2917

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000527 IL Practitioner - Nurse Practitioner 9234568890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yorkville Internists SCGroup PAC ID 5496759011, 2 clinicians

Practice addresses (Care Compare)

2720 E New York St
Suite 108
Aurora, IL 60502-9507
Phone (630) 820-7045

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LE-00029667OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yorkville Internists, S.C. CurrentSince Sep 1, 2021 Accepting new patients

Locations

2720 E New York St
Ste 108
Aurora, IL 60502
Phone (630) 820-7045

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1669020780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 INGLESIDE DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 INGLESIDE DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342917",
            "telephone_number": "440-429-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAADH",
        "first_name": "SANVIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00029667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.