Active NPI
Saurabh Baghi, M.D.
- Adult Medicine Physician
- Pueblo, CO
National Provider Identifier
1760720304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 53691
- Practice address
- 311 W 14TH St
Pueblo, CO 81003-2710 - Phone
- (719) 595-7585
- Fax
- (719) 595-7589
- NPI assigned
- Jan 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60732585 | WA | |
| Adult Medicine Physician | 207QA0505X | 53691 | CO | Primary |
Addresses
Primary practice location
311 W 14TH St
Pueblo, CO 81003-2710
Mailing address
PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52102751 | Medicaid | CO | |
| P01353385 | Other | CO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53691 | CO | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S Pannu Inc | Internal Medicine | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1760720304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560825",
"city": "DENVER",
"state": "CO",
"postal_code": "802560825",
"telephone_number": "719-595-7580",
"fax_number": "719-545-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W 14TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032710",
"telephone_number": "719-595-7585",
"fax_number": "719-595-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHI",
"first_name": "SAURABH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-16",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60732585",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CO",
"license": "53691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52102751",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01353385",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.