Individual provider Active NPI

Lavinia Raluca Baldi, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1689293193
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.008024 Issued in IL
Practice address
6110 W Roscoe St
Chicago, IL 60634-4145
Phone
(312) 384-9373
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 085.008024 IL Primary

Addresses

Primary practice location

6110 W Roscoe St
Chicago, IL 60634-4145

Mailing address

6110 W Roscoe St
Chicago, IL 60634-4145
Phone (312) 384-9373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20210125003186 IL Practitioner - Physician Assistant 9537573084 Reassigns benefits to 4 organizations
I20241014002280 IA Practitioner - Physician Assistant 9537573084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

1010 4TH St SW
Mason City, IA 50401-2856

1010 4TH St SW
105 Mercyone North Iowa Neurosurgery Care
Mason City, IA 50401-2857
Phone (641) 428-7847

Hospital & facility affiliations

  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.008024ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Sep 9, 2024 Accepting new patients
North Iowa Mercy Clinics Single Specialty CurrentSince Sep 9, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Single Specialty Past Accepting new patients
Radiologists of North Iowa PC Single Specialty Past Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients

Locations

1010 4th St SW
Ste 120
Mason City, IA 50401
Phone (515) 422-6020

1010 4th St SW
Ste 220
Mason City, IA 50401
Phone (641) 428-5100

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

Interoperability endpoints

  • Direct secure messaging: lbaldi3939035@direct.trinity-health.org

Organizations & group practices 10

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1689293193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344145",
            "telephone_number": "312-384-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344145",
            "telephone_number": "312-384-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDI",
        "first_name": "LAVINIA",
        "middle_name": "RALUCA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.