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

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1800 SULLIVAN AVE, SUITE 407, DALY CITY, CA 94015(650) 636-4462(650) 636-4463 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2021, Nov 15, 2021, Jun 9, 2021 and 1 more (4 updates tracked since 2021).

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 Daly City, California, licensed in California (A43839) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Morgantown, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1295740173
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. NAOUM A BALADICredential: M.D.
Location Address1800 SULLIVAN AVE, SUITE 407Daly City, CA 94015-2231
Mailing Address1800 Sullivan Ave Ste 407Daly City, CA 94015-2231 · (650) 636-4462 · Fax (650) 636-4463
Fax(650) 636-4463
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 21, 20244 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
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.

1800 SULLIVAN AVE, Daly City, CA 94015

Secondary Practice Location 1

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1996 · Fax (304) 285-2107

Other Identifiers 1

OtherA43839CA · License

Accepted 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 94015 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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
Quality66.96
Promoting Interoperability100
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.

Family Medicine
1800 SULLIVAN AVE, ROOM 503
DALY CITY, CA 94015
Surgery
1800 SULLIVAN AVE, SUITE 507
DALY CITY, CA 94015
Orthopaedic Surgery
1800 SULLIVAN AVE, #308
DALY CITY, CA 94015
Pathology (Dermatopathology)
1800 SULLIVAN AVE, SUITE 403
DALY CITY, CA 94015
Internal Medicine (Nephrology)
1800 SULLIVAN AVE, SUITE 507
DALY CITY, CA 94015
Internal Medicine
1800 SULLIVAN AVE, SUITE 304
DALY CITY, CA 94015
Nurse Practitioner
1800 SULLIVAN AVE
DALY CITY, CA 94015
Internal Medicine
1800 SULLIVAN AVE, STE 601
DALY CITY, CA 94015

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 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.

Where is Naoum Baladi located?

Naoum Baladi practices at 1800 Sullivan Ave Suite 407, Daly City, CA 94015. The listed phone number is (650) 636-4462.

What is Naoum Baladi's specialty?

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

Is Naoum Baladi enrolled in Medicare?

Yes. Naoum Baladi 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 Naoum Baladi accept?

Health plans from CareSource list Naoum Baladi 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.

When was this NPI record last updated?

The NPPES record for Naoum Baladi was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.