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NPI · 1104847961 · NPPES-sourced

Robert Baldassano M.D.

ActivePediatric Gastroenterology Physician
NPI Number
1104847961
Type 1 · Individual
Contact
(215) 590-3247
License PA · MD038354E
Last Updated
Enumerated
Primary practice addressPA · 19104-4319
3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & NutritionPhiladelphia, PA 19104-4319
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About this NPIWhat this record shows.

NPI 1104847961 is registered to Robert Baldassano M.D., a Pediatric Gastroenterology Physician practising at 3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition in Philadelphia, Pennsylvania. Pediatric Gastroenterology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Robert Baldassano M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 2 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 179 Pediatric Gastroenterology Physician providers on file in Pennsylvania.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Robert Baldassano M.D. accepts. To confirm in-network status with your specific health plan, contact Robert Baldassano M.D. directly at (215) 590-3247.

Frequently asked

Yes. NPI 1104847961 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Gastroenterology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (215) 590-3247.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Robert Baldassano M.D. is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 179 Pediatric Gastroenterology Physician providers are registered in Pennsylvania, and Robert Baldassano M.D. is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy2080P0206X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Pediatric Gastroenterology Physician providers in Pennsylvania.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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