ALI HUSSEIN BAALBAKI MD
NPI 1386713600
Anesthesiology - Pain Medicine in Hampton, VA

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
4000 COLISEUM DR STE 340, HAMPTON, VA 23666(757) 827-2230(757) 827-2150 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, Nov 24, 2021 (2 updates tracked since 2021).

About Ali Hussein Baalbaki Md NPPES

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

ALI HUSSEIN BAALBAKI MD (NPI 1386713600) is an individual pain medicine provider in Hampton, Virginia, licensed in Virginia (0101243251) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1386713600
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameALI HUSSEIN BAALBAKICredential: MD
Location Address4000 COLISEUM DR STE 340Hampton, VA 23666-5904
Mailing Address4000 Coliseum Dr Ste 340Hampton, VA 23666-5904 · (757) 827-2230 · Fax (757) 827-2150
Fax(757) 827-2150
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 8, 2006
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1386713600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses Licensed in VA · 0101243251 Licensed in MA · 204370
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
4000 COLISEUM DR STE 340, Hampton, VA 23666

Other Identifiers 35

Other202010204Multiplans
Other202010504Uhc
Other202010504Greatwest
Other202705274Uhc
Other41867Nhp
Other495726Tufts
Other96062901Network
Medicaid9750720MA
OtherJ22499Bcbs
Other1774156Cigna
Other202010504Phcs
Other203722881Great West
Other7895883Aetna
Other202010504Unicare
Medicaid9751921MA
Medicaid9760971MA
Other202010504Evercare
Other202010504Beech Street
Other9606290113Choice Plus Network
Medicaid0100021MA
Medicaid100021MA
Other202705274Uhp
Other202705274Great West
Other611000600MA · Dol
Other96062904Network
OtherAA80768Hphc
OtherAA80853Hphc
Other125217Fallon
Other1386713600Bmc
Other203722881Uhc
Medicaid30207121NH
OtherAA80768Harvard Pilgrim
Other2702705274Great West
Other96062903Network
OtherAA80846Hphc

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

Ali Hussein Baalbaki 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 ID7012918469
PECOS Enrollment IDI20081110000714
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 21

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.
249 services173 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.
110 services86 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
108 services60 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
108 services60 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
101 services83 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
93 services80 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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 Ali Baalbaki's NPI number?

The NPI number for Ali Baalbaki is 1386713600. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Ali Baalbaki located?

Ali Baalbaki practices at 4000 Coliseum Dr Ste 340, Hampton, VA 23666. The listed phone number is (757) 827-2230.

What is Ali Baalbaki's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Ali Baalbaki enrolled in Medicare?

Yes. Ali Baalbaki 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 Ali Baalbaki affiliated with any hospitals?

According to CMS data, Ali Baalbaki is affiliated with Sentara Norfolk General Hospital, Mary Immaculate Hospital, Sentara Obici Hospital, Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Ali Baalbaki was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.