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ARDALAN BABAKNIA MD
NPI 1366527491
Internal Medicine - Gastroenterology in Irvine, CA

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
15775 LAGUNA CANYON RD, SUITE 240, IRVINE, CA 92618(949) 753-8844(949) 753-0181 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ardalan Babaknia Md NPPES

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

ARDALAN BABAKNIA MD (NPI 1366527491) is an individual gastroenterology provider in Irvine, California, licensed in California (A44193) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1366527491
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameARDALAN BABAKNIACredential: MD
Location Address15775 LAGUNA CANYON RD, SUITE 240Irvine, CA 92618-3145
Mailing Address15775 Laguna Canyon Rd, Suite 240Irvine, CA 92618-3145 · (949) 753-8844 · Fax (949) 753-0181
Phone(949) 753-8844
Fax(949) 753-0181
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1366527491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A44193
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
15775 LAGUNA CANYON RD, Irvine, CA 92618
Open in Google Maps ↗

Other Identifiers 2

Other03682770Ecfmg
OtherA44193CA · State License

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

Ardalan Babaknia 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 ID2062478936
PECOS Enrollment IDI20090921000085
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 9

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.
200 services109 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.
190 services110 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
62 services62 patients
Removal of single external and internal hemorrhoid group 46255
This procedure involves the removal of a group of swollen blood vessels, known as hemorrhoids, that can form both inside and outside your rectum. It helps to alleviate discomfort, pain, or bleeding you may be experiencing. The operation is usually safe and effective.
60 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
58 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

JACOB K AHDOOT MD INC
Internal Medicine (Nephrology)
15775 LAGUNA CANYON RD, SUITE 220
IRVINE, CA 92618
Orange County (949) 753-8882
SATOSHI S KAMADA M.D
Internal Medicine
15775 LAGUNA CANYON RD, 280
IRVINE, CA 92618
Orange County (949) 453-1201
JOSEPH MEDICAL GROUP, INC.
Non-Pharmacy Dispensing Site
15775 LAGUNA CANYON RD, STE 210
IRVINE, CA 92618
Orange County (949) 222-9158
RENALANI MOODLEY
Occupational Therapist
15775 LAGUNA CANYON RD, SUITE 110
IRVINE, CA 92618
Orange County (949) 333-3833
ARDALAN BABAKNIA M D PROFESSIONAL CORPORATION
Internal Medicine (Gastroenterology)
15775 LAGUNA CANYON RD, SUITE 240
IRVINE, CA 92618
Orange County (949) 753-8844
LISA M KAWAGUCHI OT
Occupational Therapist
15775 LAGUNA CANYON RD, STE 110
IRVINE, CA 92618
Orange County (858) 792-3460
DR. PARISH SUBHASH VAIDYA MD
Physical Medicine & Rehabilitation
15775 LAGUNA CANYON RD, SUITE 120
IRVINE, CA 92618
Orange County (949) 335-7411
CODY MICHAEL MOORE OT
Occupational Therapist
15775 LAGUNA CANYON RD, STE 110
IRVINE, CA 92618
Orange County (949) 333-3833

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 Ardalan Babaknia's NPI number?

The NPI number for Ardalan Babaknia is 1366527491. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Ardalan Babaknia located?

Ardalan Babaknia practices at 15775 Laguna Canyon Rd Suite 240, Irvine, CA 92618. The listed phone number is (949) 753-8844.

What is Ardalan Babaknia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ardalan Babaknia enrolled in Medicare?

Yes. Ardalan Babaknia 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.

When was this NPI record last updated?

The NPPES record for Ardalan Babaknia was last updated on March 7, 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.