FRANK BALLOQUI M.D.
NPI 1346503315
Family Medicine in Quakertown, PA
About Frank Balloqui M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRANK BALLOQUI M.D. (NPI 1346503315) is an individual family medicine provider in Quakertown, Pennsylvania, licensed in Pennsylvania (MD455617) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Frank Balloqui 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Quakertown Hospital
Acute Care Hospitals · Quakertown, PALehigh Valley Hospital
Acute Care Hospitals · Allentown, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18951 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUAKERTOWN, PA 18951
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 Frank Balloqui's NPI number?
The NPI number for Frank Balloqui is 1346503315. It was assigned to this individual provider in the NPPES registry on June 24, 2012.
Where is Frank Balloqui located?
Frank Balloqui practices at 320 W Pumping Station Rd Ste 3, Quakertown, PA 18951. The listed phone number is (215) 529-4240.
What is Frank Balloqui's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Frank Balloqui enrolled in Medicare?
Yes. Frank Balloqui 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 Frank Balloqui accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Frank Balloqui 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 Frank Balloqui affiliated with any hospitals?
According to CMS data, Frank Balloqui is affiliated with St Lukes Quakertown Hospital and Lehigh Valley Hospital.
When was this NPI record last updated?
The NPPES record for Frank Balloqui was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
