DR. HUMA BAQUI MD
NPI 1225328701
Psychiatry & Neurology - Neurology in Red Bank, NJ
About Dr. Huma Baqui Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HUMA BAQUI MD (NPI 1225328701) is an individual neurology provider in Red Bank, New Jersey, licensed in New Jersey (25MA09792500) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Huma Baqui 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.
Medicare Billing Reassignments
4Medicare enrollment records show Huma Baqui reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 95 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Neptune, NJ 07753
- Reassigned Medicare billing, New Jersey enrollment
- 11 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJRobert Wood Johnson University Hospital - Somerset
Acute Care Hospitals · Somerville, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Huma Baqui's NPI number?
The NPI number for Huma Baqui is 1225328701. It was assigned to this individual provider in the NPPES registry on April 18, 2011.
Where is Huma Baqui located?
Huma Baqui practices at 65 Mechanic St Ste 102, Red Bank, NJ 07701. The listed phone number is (551) 996-8483.
What is Huma Baqui's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Huma Baqui enrolled in Medicare?
Yes. Huma Baqui 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.
Which organizations bill Medicare for Huma Baqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Huma Baqui reassigns Medicare benefits to 4 organizations: Ea Health - New Jersey LLC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Monmouth-Ocean Neurology PC (Neptune, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Huma Baqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Huma Baqui accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Huma Baqui 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 Huma Baqui affiliated with any hospitals?
According to CMS data, Huma Baqui is affiliated with Riverview Medical Center, Robert Wood Johnson University Hospital - Somerset, Ocean Medical Center, Jersey Shore University Medical Center and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Huma Baqui was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Huma Baqui, MD · NPI 1225328701
Neurology physician in Red Bank, New Jersey. Individual provider, active in the CMS NPPES registry since April 18, 2011.
## Identity
- **NPI:** 1225328701 (Entity type: Individual)
- **Enumerated:** April 18, 2011
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 25MA09792500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 MECHANIC ST STE 102, Red Bank, NJ 07701-1852
- **Phone:** (551) 996-8483 · **Fax:** (848) 308-5449
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ea Health - New Jersey LLC (NPI 1063186641, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Monmouth-Ocean Neurology PC (NPI 1508848599, Neptune, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225328701) · Data from the CMS NPPES public registry.