Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AHMAD BALLOUT MD
NPI 1225525389
Neurological Surgery in Camden, NJ

Active since April 15, 2018PECOS Enrolled
91.25/100
CMS Quality Rating
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2000 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Jun 6, 2024, Apr 9, 2024 and 3 more (6 updates tracked since 2018).

About Ahmad Ballout Md NPPES

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

AHMAD BALLOUT MD (NPI 1225525389) is an individual neurological surgery provider in Camden, New Jersey, licensed in Connecticut (84743) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225525389
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameAHMAD BALLOUTCredential: MD
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2018
Enumeration DateApril 15, 2018
Last NPPES UpdateOctober 21, 20266 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1225525389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in CT · 84743✔ Licensed in NJ · 25MA12056900
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 84743 (CT), 25MA12056900 (NJ)
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 25MA12056900 (NJ)
1 COOPER PLZ, Camden, NJ 08103

Secondary Practice Locations 3

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 21 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000
Location 32800 Main StBridgeport, CT 06606-4201 · Phone (203) 576-6000

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

Ahmad Ballout 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 ID6800134628
PECOS Enrollment IDI20240416002717, I20260626000391
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ahmad Ballout reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
3 COOPER PLAZA, SUITE 215
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 399 clinicians in this Medicare group
Surgery
3 COOPER PLZ, SUITE 411
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 383 clinicians in this Medicare group
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 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 6

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.
90 services58 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.
88 services87 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.
86 services45 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.
23 services23 patients
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.
22 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103

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 Ahmad Ballout's NPI number?

The NPI number for Ahmad Ballout is 1225525389. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Ahmad Ballout located?

Ahmad Ballout practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2000.

What is Ahmad Ballout's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Ahmad Ballout enrolled in Medicare?

Yes. Ahmad Ballout 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 Ahmad Ballout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Ballout reassigns Medicare benefits to 4 organizations: Cmc Department Of Medicine Group PA (Camden, NJ), Cooper Surgical Associates, PA (Camden, NJ), Capital Health Multispecialty Group (Trenton, NJ) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Ahmad Ballout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmad Ballout accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Ahmad Ballout 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 Ahmad Ballout affiliated with any hospitals?

According to CMS data, Ahmad Ballout is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Ahmad Ballout was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.