FATEMA BALOOCH FNP-C
NPI 1033705744
Nurse Practitioner - Family in Fremont, CA

Q: What is Fatema Balooch's NPI number?

The NPI number for Fatema Balooch is 1033705744. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Q: What is Fatema Balooch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Fatema Balooch was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment

3200 KEARNEY ST, FREMONT, CA 94538(510) 490-1222 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2022, Dec 27, 2020, Dec 16, 2020 (3 updates tracked since 2020).

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About Fatema Balooch Fnp-c NPPES

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

FATEMA BALOOCH FNP-C (NPI 1033705744) is an individual family provider in Fremont, California, licensed in California (95011308) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033705744

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFATEMA BALOOCHCredential: FNP-C

Location Address3200 KEARNEY STFremont, CA 94538-2299

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 490-1222

Phone(510) 490-1222

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 16, 2020

Last NPPES UpdateJuly 13, 20223 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1033705744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95011308

3200 KEARNEY ST, Fremont, CA 94538

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Secondary Practice Location 1

Location 12636 Telegraph AveBerkeley, CA 94704-3373 · Phone (510) 841-1647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fatema Balooch Fnp-c 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.

PECOS PAC ID7911388012

PECOS Enrollment IDI20220720004056

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. LAKSHMI SRINIVASAN MD

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