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NADIR BALUCH MD
NPI 1184009573
Family Medicine in Mcallen, TX

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment
110 E. SAVANNAH AVE, BLDG B STE 203, MCALLEN, TX 78503(956) 686-7611(956) 618-3164 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nadir Baluch Md NPPES

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

NADIR BALUCH MD (NPI 1184009573) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S7386) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184009573
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNADIR BALUCHCredential: MD
Location Address110 E. SAVANNAH AVE, BLDG B STE 203Mcallen, TX 78503
Mailing Address2330 Jack Warner Pkwy Unit B-109bTuscaloosa, AL 35401-1069 · (312) 593-7875
Phone(956) 686-7611
Fax(956) 618-3164
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 27, 2015
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1184009573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · S7386✔ Licensed in ND · RL13644✔ Licensed in AL · MD.38019
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 E. SAVANNAH AVE, Mcallen, TX 78503
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11201 11th Ave SWMinot, ND 58701-4207 · Phone (701) 858-6700
Location 2850 Peter Bryce BlvdTuscaloosa, AL 35401-7457 · Phone (205) 348-1770
Location 3809 University Blvd ETuscaloosa, AL 35401 · Phone (205) 759-7111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nadir Baluch Md 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 ID8022326719
PECOS Enrollment IDI20201123001273
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
372 services101 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services48 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.
37 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$12.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$58.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYO KIDNEY CARE PA
Internal Medicine (Nephrology)
110 E. SAVANNAH AVE, BLDG C SUITE 201
MCALLEN, TX 78503
Hidalgo County (956) 800-1820
DR. JUAN MANUEL ROJAS MD
Internal Medicine
110 E. SAVANNAH AVE, BLDG B STE 203
MCALLEN, TX 78503
Hidalgo County (956) 686-7611
WERWIN LABRADOR NP
Nurse Practitioner (Family)
110 E. SAVANNAH AVE
MCALLEN, TX 78503
Hidalgo County (956) 686-7611
DR. MIGUEL A SANCHEZ RIVAS M.D.
Family Medicine
110 E. SAVANNAH AVE, BLDG B STE 203
MCALLEN, TX 78503
Hidalgo County (956) 686-7611

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 Nadir Baluch's NPI number?

The NPI number for Nadir Baluch is 1184009573. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Nadir Baluch located?

Nadir Baluch practices at 110 E. Savannah Ave Bldg B Ste 203, Mcallen, TX 78503. The listed phone number is (956) 686-7611.

What is Nadir Baluch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nadir Baluch enrolled in Medicare?

Yes. Nadir Baluch 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 Nadir Baluch accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nadir Baluch 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 Nadir Baluch affiliated with any hospitals?

According to CMS data, Nadir Baluch is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nadir Baluch was last updated on November 16, 2020. 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.