Innokentiy Bakaev, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

254840 Issued in MA

Practice address

150 Park St
Lawrence, MA 01841-2517

Phone

(978) 685-1770

Fax

(978) 682-5787

NPI assigned

Jul 15, 2009

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Family PracticeAlso: Geriatric Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
• Hebrew Rehabilitation Center Long-term care hospital, Boston, MA, CCN 222007
• NewBridge on the Charles Skilled Nursing Facility Nursing home, Dedham, MA, CCN 225774

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.

• Hebrew Rehabilitation Center

  dba Hebrew Rehab Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967
  Medicare reassignment Care Compare group NPD
• Hebrew Rehabilitation Center

  dba Hebrew Rehab-Recup Services Unit

  • Skilled Nursing Facility
  • Roslindale, MA
  • NPI 1013012319
  NPD

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

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation
• Hebrew Rehabilitation Center

  dba Hebrew Rehab Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967

  Long-term care hospital

  Care Compare affiliation
• Newbridge on the Charles, Inc.

  • Skilled Nursing Facility
  • Dedham, MA
  • NPI 1407082407

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1942430608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412517",
            "telephone_number": "978-685-1770",
            "fax_number": "978-682-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412517",
            "telephone_number": "978-685-1770",
            "fax_number": "978-682-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAEV",
        "first_name": "INNOKENTIY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2395431",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "254840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Owusu Baffour, MSW
• Anne Bagley Sr., LICSW
• Meredith Bailey, CRNA
• Micah Baillargeon
• Patricia Baines-Arndt, PT
• Linoshka Bakanosky
• Amylynne Baker-Santagate
• Mary K Baker, PT
• Leslie Balogna
• Nicolas Baltayan

• Family Medicine Physician in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.