1. Home
  2. Directory
  3. Texas
  4. Allen
  5. Family Medicine
  6. NPI Profile

SAIRA IMTIAZ BALOCH MD
NPI 1235343906
Family Medicine in Allen, TX

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
73.67/100
CMS Quality Rating
1105 CENTRAL EXPY N STE 2210, ALLEN, TX 75013(972) 747-4325(972) 747-4324 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Saira Imtiaz Baloch Md NPPES

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

SAIRA IMTIAZ BALOCH MD (NPI 1235343906) is an individual family medicine provider in Allen, Texas, licensed in Texas (M6669) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Allen, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1235343906
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAIRA IMTIAZ BALOCHCredential: MD
Location Address1105 CENTRAL EXPY N STE 2210Allen, TX 75013-6124
Mailing Address1402 Sunshine DrAllen, TX 75002-5322
Phone(972) 747-4325
Fax(972) 747-4324
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 2, 2018
✔ NPI 1235343906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M6669
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.
1105 CENTRAL EXPY N STE 2210, Allen, TX 75013
Open in Google Maps ↗

Other Names 1

Former Name (1)Saira Imtiaz Md

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

Saira Imtiaz Baloch 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 ID1355434663
PECOS Enrollment IDI20070831000514
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 10

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
343 services89 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
236 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services70 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
89 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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.

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.

73.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.18
Improvement Activities40
Cost52.09

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers41 claims2,840 services$0.37 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
2 suppliers30 claims252 services$7.21 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers34 claims390 services$9.36 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers52 claims3,810 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims884 services$0.38 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

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

ALLEN WOUND CARE LLC
Preventive Medicine (Undersea and Hyperbaric Medicine)
1105 CENTRAL EXPY N STE 2210
ALLEN, TX 75013
Collin County (972) 747-4325

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 Saira Baloch's NPI number?

The NPI number for Saira Baloch is 1235343906. It was assigned to this individual provider in the NPPES registry on May 10, 2007. The provider is also known as Saira Imtiaz MD.

Where is Saira Baloch located?

Saira Baloch practices at 1105 Central Expy N Ste 2210, Allen, TX 75013. The listed phone number is (972) 747-4325.

What is Saira Baloch's specialty?

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

Is Saira Baloch enrolled in Medicare?

Yes. Saira Baloch 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 Saira Baloch 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 4 other insurers list Saira Baloch 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 Saira Baloch affiliated with any hospitals?

According to CMS data, Saira Baloch is affiliated with Texas Health Presbyterian Hospital Allen and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Saira Baloch was last updated on April 2, 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.