NAVEEN BALLEM MD
NPI 1306971874
Surgery in Glen Ridge, NJ

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
230 SHERMAN AVE, GLEN RIDGE, NJ 07028(973) 744-8585 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Naveen Ballem Md NPPES

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

NAVEEN BALLEM MD (NPI 1306971874) is an individual surgery provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA08326700) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1306971874
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNAVEEN BALLEMCredential: MD
Location Address230 SHERMAN AVEGlen Ridge, NJ 07028-1529
Mailing Address230 Sherman AveGlen Ridge, NJ 07028-1529 · (973) 744-8585
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 7, 2008
NPI 1306971874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NJ · 25MA08326700
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
230 SHERMAN AVE, Glen Ridge, NJ 07028

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

Naveen Ballem 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 ID8022111038
PECOS Enrollment IDI20080714000173
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Neurology)
230 SHERMAN AVE
GLEN RIDGE, NJ 07028
Surgery
230 SHERMAN AVE
GLEN RIDGE, NJ 07028
Surgery
230 SHERMAN AVE
GLEN RIDGE, NJ 07028
Physician Assistant (Medical)
230 SHERMAN AVE
GLEN RIDGE, NJ 07028
Family Medicine
230 SHERMAN AVE, SUITE A
GLEN RIDGE, NJ 07028
Physician Assistant
230 SHERMAN AVE
GLEN RIDGE, NJ 07028
Dietitian, Registered
230 SHERMAN AVE, SUITE C
GLEN RIDGE, NJ 07028
Family Medicine
230 SHERMAN AVE
GLEN RIDGE, NJ 07028

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 Naveen Ballem's NPI number?

The NPI number for Naveen Ballem is 1306971874. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Naveen Ballem located?

Naveen Ballem practices at 230 Sherman Ave, Glen Ridge, NJ 07028. The listed phone number is (973) 744-8585.

What is Naveen Ballem's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Naveen Ballem enrolled in Medicare?

Yes. Naveen Ballem 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.

Is Naveen Ballem affiliated with any hospitals?

According to CMS data, Naveen Ballem is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for Naveen Ballem was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.