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DR. BASEL BAGHAL D.O.
NPI 1356703409
Internal Medicine in Maywood, NJ

Active since March 27, 2016PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
1 MAYWOOD AVE, MAYWOOD, NJ 07607(201) 464-4755(201) 464-4758 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2021, Dec 31, 2019, Mar 27, 2016 (3 updates tracked since 2016).

About Dr. Basel Baghal D.o. NPPES

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

DR. BASEL BAGHAL D.O. (NPI 1356703409) is an individual internal medicine provider in Maywood, New Jersey, licensed in New Jersey (25MB10634800) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356703409
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BASEL BAGHALCredential: D.O.
Location Address1 MAYWOOD AVEMaywood, NJ 07607-1001
Mailing Address1 Maywood AveMaywood, NJ 07607-1001 · (201) 464-4755 · Fax (201) 464-4758
Phone(201) 464-4755
Fax(201) 464-4758
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2016
Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1356703409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MB10634800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 MAYWOOD AVE, Maywood, NJ 07607
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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. Basel Baghal D.o. 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 ID6406281716
PECOS Enrollment IDI20200115000337
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 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.

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.
223 services103 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.
79 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
41 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07607 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 3

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

NIREN JASUTKAR M.D.
Internal Medicine (Gastroenterology)
1 MAYWOOD AVE
MAYWOOD, NJ 07607
Bergen County (551) 257-7005
MANDAKINI DANTULURI
Pharmacist
1 MAYWOOD AVE
MAYWOOD, NJ 07607
Bergen County (201) 845-3287
OPTUM MEDICAL CARE OF NEW JERSEY PC
Durable Medical Equipment & Medical Supplies
1 MAYWOOD AVE
MAYWOOD, NJ 07607
Bergen County (201) 464-4772

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 Basel Baghal's NPI number?

The NPI number for Basel Baghal is 1356703409. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Basel Baghal located?

Basel Baghal practices at 1 Maywood Ave, Maywood, NJ 07607. The listed phone number is (201) 464-4755.

What is Basel Baghal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Basel Baghal enrolled in Medicare?

Yes. Basel Baghal 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 Basel Baghal affiliated with any hospitals?

According to CMS data, Basel Baghal is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Basel Baghal was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.