Individual provider Active NPI

Ivan A Baumwell, M.D.

  • Ophthalmology Physician
  • Sewickley, PA
National Provider Identifier
1891709382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD035686E Issued in PA
Practice address
400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone
(412) 741-4610
Fax
(412) 741-8967
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD035686E PA Primary

Addresses

Primary practice location

400 Broad St
Suite 2020
Sewickley, PA 15143-1500

Mailing address

400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone (412) 741-4610

Other identifiers 1

IdentifierTypeStateIssuer
1051962MedicaidPA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111213000667 PA Practitioner - Ophthalmology 1153218912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sewickley Eye Center, LTDGroup PAC ID 0345137105, 10 clinicians

Practice addresses (Care Compare)

27 Heckel Rd
Suite 211
MC Kees Rocks, PA 15136-1695
Phone (412) 777-4300

400 Broad St
Sewickley, PA 15143-1500
Phone (412) 741-4610

95 Golfview Dr
A
Monaca, PA 15061-2479
Phone (724) 770-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Eye Center, LTD Ophthalmology CurrentSince Jul 14, 1986 Accepting new patients

Locations

846 California Ave
Avalon, PA 15202
Phone (412) 741-4610

27 Heckel Rd
Ste 211
Mc Kees Rocks, PA 15136
Phone (412) 777-4300

95 Golfview Dr
#A
Monaca, PA 15061
Phone (724) 770-9000

400 Broad St
Ste 2020
Sewickley, PA 15143
Phone (412) 741-4610

Interoperability endpoints

  • Direct secure messaging: direct@sewickleyeyecentersewickleypa.compulinkdirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891709382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROAD ST",
            "address_2": "SUITE 2020",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "412-741-4610",
            "fax_number": "412-741-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROAD ST",
            "address_2": "SUITE 2020",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "412-741-4610",
            "fax_number": "412-741-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMWELL",
        "first_name": "IVAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD035686E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051962",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.