Leopoldo Miguel Baccaro, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MT197427 Issued in PA

Practice address

250 S 21St St
Easton Hospital General Surgery Dept.
Easton, PA 18042-3851

Phone

(610) 250-4000

NPI assigned

May 8, 2010

Last updated

May 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gardner Plastic Surgery IncGroup PAC ID 0547326712, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gardner Plastic Surgery Inc

  • Plastic Surgery Physician
  • Naples, FL
  • NPI 1639317290
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273276800000",
    "number": "1821316381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "APT. 210",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "address_2": "EASTON HOSPITAL GENERAL SURGERY DEPT.",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423851",
            "telephone_number": "610-250-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCARO",
        "first_name": "LEOPOLDO",
        "middle_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-08",
        "last_updated": "2010-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT197427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariette Austin, MD
• Quentin Avent
• Darlene Aviles Perez, LMFT
• Ayesha Farooq, PLLC
• Deanne Babio, CRNP
• Back in Line Chiropractic and Wellness Center, PC
• Anthony P Baddoo, D.D.S
• Jasmine Badillo, CRNP
• Stuart Badner, PSY.D.
• Kamarveer Singh Baidwan, DMD

• Surgery Physician in Easton, PA
• Providers in Easton, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.