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MICHAEL P BALDASSARI
NPI 1790365484
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 08, 2021PECOS Enrolled
900 WALNUT ST, PHILADELPHIA, PA 19107(610) 715-1494 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael P Baldassari NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL P BALDASSARI (NPI 1790365484) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790365484
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL P BALDASSARI
Location Address900 WALNUT STPhiladelphia, PA 19107-5191
Mailing Address1510 Chestnut St Apt 301Philadelphia, PA 19102-2723 · (610) 715-1494
Phone(610) 715-1494
Sole ProprietorNo
Enumeration DateApril 8, 2021
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1790365484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 WALNUT ST, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael P Baldassari is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. OLATUNDE KUPONIYI DO
Internal Medicine
900 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000
DR. JENNIFER R. TINKER PH.D.
Clinical Neuropsychologist
900 WALNUT ST, 2ND FLR, JEFFERSON HOSPITAL FOR NEUROSCIENCES
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1222
DR. STEPHANIE J. NAHAS-GEIGER M.D.
Psychiatry & Neurology (Neurology)
900 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2243
DR. DANIEL E. KREMENS M.D., J.D.
Psychiatry & Neurology (Neurology)
900 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
DR. ABDOLMOHAMAD ROSTAMI M.D.
Psychiatry & Neurology (Neurology)
900 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
CHRISTINE MARCELLO CRNP
Nurse Practitioner (Family)
900 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-6538
DR. ROBERT L. BARCHI M.D.
Psychiatry & Neurology (Neurology)
900 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
CLINTON LAURITSEN D.O.
Psychiatry & Neurology (Neurology)
900 WALNUT ST, SUITE 200, ROOM 232 TJUH HEADACHE CENTER
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5266

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 Michael Baldassari's NPI number?

The NPI number for Michael Baldassari is 1790365484. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Michael Baldassari located?

Michael Baldassari practices at 900 Walnut St, Philadelphia, PA 19107. The listed phone number is (610) 715-1494.

What is Michael Baldassari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Baldassari enrolled in Medicare?

Yes. Michael Baldassari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Baldassari was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.