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

DR. NAOUM A BALADI M.D.
NPI 1295740173
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Modesto, CA

Q: What is Naoum Baladi's NPI number?

The NPI number for Naoum Baladi is 1295740173. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Naoum Baladi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Naoum Baladi was last updated on September 1, 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.

Active since July 29, 2006PECOS Enrolled

90.11/100

CMS Quality Rating

1441 FLORIDA AVE, MODESTO, CA 95350(209) 578-1211 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Dec 2, 2021, Nov 15, 2021 and 2 more (5 updates tracked since 2021).

On this page

About Dr. Naoum A Baladi M.d. NPPES

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

DR. NAOUM A BALADI M.D. (NPI 1295740173) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Modesto, California, licensed in California (A43839) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1295740173

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. NAOUM A BALADICredential: M.D.

Location Address1441 FLORIDA AVEModesto, CA 95350-4405

Mailing Address1800 Sullivan Ave Ste 407Daly City, CA 94015-2231 · (650) 636-4462 · Fax (650) 636-4463

Phone(209) 578-1211

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateJuly 29, 2006

Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1295740173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in CA · A43839✔ Licensed in WV · 30663

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1441 FLORIDA AVE, Modesto, CA 95350

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Secondary Practice Locations 2

Location 11800 Sullivan Ave, Suite 407Daly City, CA 94015-2231 · Phone (650) 636-4462 · Fax (650) 636-4463

Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1996 · Fax (304) 285-2107

Other Identifiers 1

OtherA43839CA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Naoum A Baladi M.d. 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 ID5092878140

PECOS Enrollment IDI20090209000309

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.

52 services20 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

46 services32 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.

21 services21 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

12 services12 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

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.

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program