{
  "npi": "1710058631",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "PIOTR",
    "authorized_official_last_name": "BAGINSKI",
    "authorized_official_middle_name": "WALDEMAR",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2039449775",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2006-11-13",
    "last_updated": "2020-08-22",
    "organization_name": "BAGINSKI MEDICAL LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3 HICKORY LANE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ANSONIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-735-2614",
      "postal_code": "06403",
      "state": "CT",
      "telephone_number": "203-734-1617"
    },
    {
      "address_1": "4 CORPORATE DR",
      "address_2": "SUITE 283",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SHELTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-944-9964",
      "postal_code": "064846211",
      "state": "CT",
      "telephone_number": "203-944-9775"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "039585",
      "primary": true,
      "state": "CT",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}