BAILA MAQBOOL
NPI 1083022958
Surgery in Albuquerque, NM

Q: What is Baila Maqbool's NPI number?

The NPI number for Baila Maqbool is 1083022958. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Q: What is Baila Maqbool's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Baila Maqbool was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 July 23, 2014PECOS EnrolledAccepts Medicare Assignment

85.18/100

CMS Quality Rating

2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-2111 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Jul 15, 2024, Nov 10, 2020 (3 updates tracked since 2020).

On this page

About Baila Maqbool NPPES

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

BAILA MAQBOOL (NPI 1083022958) is an individual surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-0150) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083022958

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameBAILA MAQBOOL

Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719

Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-8060

Phone(505) 272-2111

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 23, 2014

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1083022958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NM · MD2019-0150✔ Licensed in NM · RS2014-0281

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2211 LOMAS BLVD NE, Albuquerque, NM 87106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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

Baila Maqbool 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 ID3173742129

PECOS Enrollment IDI20200825001022

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number320001

Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320009

Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

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

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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Cost

57.08

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.

GLYNNIS INGALL

Pathology (Anatomic Pathology & Clinical Pathology)

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2445

DR. RACHEL ELIZABETH WEMHOFF MD

Obstetrics & Gynecology

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2245

DR. JAMES MAXWELL DECKER AUD

Audiologist

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-3535

ISABELLA REITZ-PEREZ MD

Student in an Organized Health Care Education/Training Program

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-4161

LAURA MIGLIACCIO

Advanced Practice Midwife

2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2242

DR. KAREN RENEE CRAIG M.D.

Radiology (Diagnostic Radiology)

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-0011

DR. LESLIE ERIN STRICKLER DO

Pediatrics

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-5551

UNM MEDICAL GROUP INC

Pathology (Clinical Pathology/Laboratory Medicine)

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-3200

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 Baila Maqbool's NPI number?

The NPI number for Baila Maqbool is 1083022958. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Baila Maqbool located?

Baila Maqbool practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-2111.

What is Baila Maqbool's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Baila Maqbool enrolled in Medicare?

Yes. Baila Maqbool 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.

What insurance does Baila Maqbool accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Baila Maqbool 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 Baila Maqbool affiliated with any hospitals?

According to CMS data, Baila Maqbool is affiliated with Unm Hospital and Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Baila Maqbool was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.