BAIGALMAA ENKHTAIVAN
NPI 1043637176
Internal Medicine in Plymouth, MA
About Baigalmaa Enkhtaivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAIGALMAA ENKHTAIVAN (NPI 1043637176) is an individual internal medicine provider in Plymouth, Massachusetts, licensed in Maryland (292048) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and maintains a secondary practice location in Burlington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Baigalmaa Enkhtaivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Baigalmaa Enkhtaivan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Quincy, MA 02169
- Reassigned Medicare billing, Massachusetts enrollment
- 334 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 2,579 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 346 clinicians in this Medicare group
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1538194980 (Massachusetts)
- 1,841 clinicians in this Medicare group
Mobile, AL 36607
- Reassigned Medicare billing, Alabama enrollment
- 144 clinicians in this Medicare group
Mobile, AL 36607
- Reassigned Medicare billing, Alabama enrollment
- 144 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lowell General Hospital
Acute Care Hospitals · Lowell, MAMelrosewakefield Healthcare
Acute Care Hospitals · Melrose, MATufts Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLYMOUTH, MA 02360
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Baigalmaa Enkhtaivan's NPI number?
The NPI number for Baigalmaa Enkhtaivan is 1043637176. It was assigned to this individual provider in the NPPES registry on March 26, 2014.
Where is Baigalmaa Enkhtaivan located?
Baigalmaa Enkhtaivan practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 830-2679.
What is Baigalmaa Enkhtaivan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Baigalmaa Enkhtaivan enrolled in Medicare?
Yes. Baigalmaa Enkhtaivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Baigalmaa Enkhtaivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Baigalmaa Enkhtaivan reassigns Medicare benefits to 6 organizations: Pratt Medical Group, Inc (Quincy, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA), Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Boston, MA), Lahey Clinic, Inc (Peabody, MA), Imc-Hospitalists LLC (Mobile, AL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Baigalmaa Enkhtaivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Baigalmaa Enkhtaivan accept?
Health plans from Taro Health list Baigalmaa Enkhtaivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Baigalmaa Enkhtaivan affiliated with any hospitals?
According to CMS data, Baigalmaa Enkhtaivan is affiliated with Lowell General Hospital, Melrosewakefield Healthcare and Tufts Medical Center.
When was this NPI record last updated?
The NPPES record for Baigalmaa Enkhtaivan was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Baigalmaa Enkhtaivan · NPI 1043637176
Internal Medicine physician in Plymouth, Massachusetts. Individual provider, active in the CMS NPPES registry since March 26, 2014.
## Identity
- **NPI:** 1043637176 (Entity type: Individual)
- **Enumerated:** March 26, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 292048 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 SANDWICH ST, Plymouth, MA 02360-2183
- **Phone:** (508) 830-2679 · **Fax:** (508) 830-2702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Pratt Medical Group, Inc (NPI 1447525241, Quincy, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA); Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (NPI 1497151773, Boston, MA); Lahey Clinic, Inc (NPI 1063447316, Peabody, MA); Imc-Hospitalists LLC (NPI 1669824934, Mobile, AL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043637176) · Data from the CMS NPPES public registry.