DR. RAFIA QANDEEL BALOCH M.D.
NPI 1144589490
Pediatrics in Plainsboro, NJ

Q: What is Rafia Baloch's NPI number?

The NPI number for Rafia Baloch is 1144589490. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Q: What is Rafia Baloch's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rafia Baloch was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 07, 2012PECOS Enrolled

1 PLAINSBORO RD, PLAINSBORO, NJ 08536(609) 853-6500 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Aug 25, 2017, Aug 4, 2017 (3 updates tracked since 2017).

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About Dr. Rafia Qandeel Baloch M.d. NPPES

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

DR. RAFIA QANDEEL BALOCH M.D. (NPI 1144589490) is an individual pediatrics provider in Plainsboro, New Jersey, licensed in New Jersey (25MA09778300) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1144589490

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. RAFIA QANDEEL BALOCHCredential: M.D.

Location Address1 PLAINSBORO RDPlainsboro, NJ 08536-1913

Mailing Address1 Plainsboro RdPlainsboro, NJ 08536-1913 · (609) 853-9500

Phone(609) 853-6500

Sole ProprietorNo

Enumeration DateMay 7, 2012

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1144589490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NJ · 25MA09778300✔ Licensed in WA · MD60774405

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 PLAINSBORO RD, Plainsboro, NJ 08536

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Secondary Practice Location 1

Location 1475 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-9359

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rafia Qandeel Baloch M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

MR. DUNCAN STEWART ECKHARDT CRNA

Nurse Anesthetist, Certified Registered