Individual provider Active NPI

Rachel A Baritz, PA

  • Physician Assistant
  • Cambridge, MA
National Provider Identifier
1851667224
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4360 Issued in MA
Practice address
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone
(617) 499-5140
Fax
(617) 499-5593
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4360 MA Primary

Addresses

Primary practice location

330 Mount Auburn St
Cambridge, MA 02138-5502

Mailing address

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SD2 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
I20121031000308 MA Practitioner - Physician Assistant 7719137603 Reassigns benefits to 2 organizations
I20220308000746 SD Practitioner - Physician Assistant 7719137603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60552CAMDPediatric Dentist
4360MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Jun 6, 2022 Accepting new patients
Mt Auburn Professional Services CurrentSince Aug 6, 2012 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2022 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2022 Accepting new patients

Locations

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

300 Mount Auburn St
Ste 405
Cambridge, MA 02138
Phone (617) 498-9550

300 Mount Auburn St
Ste 510N
Cambridge, MA 02138
Phone (617) 492-0630

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1851667224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-499-5140",
            "fax_number": "617-499-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-499-5140",
            "fax_number": "617-499-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARITZ",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "4360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.