Individual provider Active NPI

Jorge Ibrahim Baghdan, ARNP

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1861994923
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ARNP9245621 Issued in FL
Practice address
2896 Pomerol Dr Apt 403
Wellington, FL 33414-9412
Phone
(561) 475-8368
NPI assigned
Mar 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ARNP9245621 FL Primary

Addresses

Primary practice location

2896 Pomerol Dr Apt 403
Wellington, FL 33414-9412

Mailing address

2896 Pomerol Dr Apt 403
Wellington, FL 33414-9412
Phone (561) 475-8368

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515001434 FL Practitioner - Nurse Practitioner 0840621363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9245621FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Care of S FL PastSince Apr 7, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jorge.baghdan.1@30104.direct.athenahealth.com

Organizations & group practices 2

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1861994923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 POMEROL DR APT 403",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149412",
            "telephone_number": "561-475-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 POMEROL DR APT 403",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149412",
            "telephone_number": "561-475-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHDAN",
        "first_name": "JORGE",
        "middle_name": "IBRAHIM",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9245621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.