Individual provider Active NPI

Paul H Baumgarten, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Schenectady, NY
National Provider Identifier
1962489534
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N 004870 Issued in NY
Practice address
123 Saratoga Rd
Ste 9
Schenectady, NY 12302-4181
Phone
(518) 346-6000
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004870 NY
Primary Podiatric Medicine Podiatrist 213EP1101X N 004870 NY Primary

Addresses

Primary practice location

123 Saratoga Rd
Ste 9
Schenectady, NY 12302-4181

Mailing address

123 Saratoga Rd, 2-1
The Foot Doctor
Glenville, NY 12302-4237
Phone (518) 346-6000

Other identifiers 1

IdentifierTypeStateIssuer
01345486MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000088 NY Practitioner - Podiatry 2860472495 Practice locations: Schenectady, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Nott St
Suite 101
Schenectady, NY 12308-2589

9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Phone (518) 346-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1757
Removal or shaving of skin growth1689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004870NYMDPodiatrist
N 004870NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul D Baumgardner DC PA Single Specialty PastSince Apr 30, 2003 Accepting new patients
Paul H Baumgarten PastSince Apr 13, 2016 Accepting new patients
Dr Paul Baumgarten PastSince Apr 13, 2016 Accepting new patients
Kenneth March, DPM, PLLC Single Specialty PastSince Jul 1, 2019 Accepting new patients
Kenneth March, DPM PLLC Single Specialty PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 5

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1962489534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SARATOGA RD, 2-1",
            "address_2": "THE FOOT DOCTOR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024237",
            "telephone_number": "518-346-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SARATOGA RD",
            "address_2": "STE 9",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123024181",
            "telephone_number": "518-346-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTEN",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004870",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N 004870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.