Organization Active NPI

Baginski Medical LLC

  • Internal Medicine Physician
  • Shelton, CT
National Provider Identifier
1710058631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039585 Issued in CT
Legal business name
BAGINSKI MEDICAL LLC
Practice address
4 Corporate Dr
Suite 283
Shelton, CT 06484-6211
Phone
(203) 944-9775
Fax
(203) 944-9964
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Piotr Waldemar Baginski, MDNPI 1164449906
Title
Owner
Phone
(203) 944-9775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039585 CT Primary

Addresses

Primary practice location

4 Corporate Dr
Suite 283
Shelton, CT 06484-6211

Mailing address

3 Hickory Lane
Ansonia, CT 06403
Phone (203) 734-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050810000280 CT Part B Supplier - Clinic/Group Practice 1355370321 Receives reassigned benefits from 1 practitioner
Practice locations: Shelton, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0990304Baginski Medical, LLC4 Corporate Drive, Suite 185, Shelton, CT 06484Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

380 New Haven Ave
Derby, CT 06418
Phone (203) 734-1617

4 Corporate Dr
Ste 185
Shelton, CT 06484
Phone (203) 734-1617

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17341/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710058631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HICKORY LANE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "06403",
            "telephone_number": "203-734-1617",
            "fax_number": "203-735-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR",
            "address_2": "SUITE 283",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846211",
            "telephone_number": "203-944-9775",
            "fax_number": "203-944-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGINSKI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGINSKI",
        "authorized_official_first_name": "PIOTR",
        "authorized_official_middle_name": "WALDEMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-944-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.