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NIDAL BABAA M.D.
NPI 1396150371
Internal Medicine in Roanoke, VA

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000(540) 853-0931 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2023, Aug 31, 2022, Mar 9, 2021 and 6 more (9 updates tracked since 2017).

About Nidal Babaa M.d. NPPES

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

NIDAL BABAA M.D. (NPI 1396150371) is an individual internal medicine provider in Roanoke, Virginia, licensed in Virginia (0101263471) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Northwest Hospital Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396150371
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIDAL BABAACredential: M.D.
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address213 S Jefferson St Ste 625Roanoke, VA 24011-1713 · (540) 224-5516 · Fax (540) 224-5684
Phone(540) 981-7000
Fax(540) 853-0931
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2014
Last NPPES UpdateFebruary 25, 20269 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1396150371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0101263471✔ Licensed in MD · D86138✔ Licensed in AZ · 60208✔ Licensed in PA · MD462883✔ Licensed in IL · 036.151404✔ Licensed in PA · MT207604
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2017036838 (MO), D86138 (MD), 25MA09968300 (NJ)
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-3582 · Fax (571) 665-6492
Location 2230 N Broad StPhiladelphia, PA 19102-1121 · Phone (215) 762-7000
Location 31001 Sam Perry BlvdFredericksburg, VA 22401-4453 · Phone (540) 741-4350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nidal Babaa 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.

PECOS PAC ID6305102468
PECOS Enrollment IDI20181221002067
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.

Medicare Billing Reassignments

30

Medicare enrollment records show Nidal Babaa reassigns Medicare billing to 30 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Associates P.A., P.C.
134 mi
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia and Maryland enrollments
  • Also billed through NPI 1245195544 (Maryland)
  • 1,294 clinicians in this Medicare group
NPI 1881559102 (540) 829-4100
Hospitalist Medicine Physicians Of Virginia - Richmond, LLC
136 mi
Internal Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 104 clinicians in this Medicare group
NPI 1699311324 (804) 285-2011
Mary Washington Healthcare Providers LLC
153 mi
Hospitalist
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 323 clinicians in this Medicare group
NPI 1750826277 (540) 741-1821
Hospitalist Medicine Physicians Of Fredericksburg, LLC
153 mi
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Hospitalist Medicine Physicians Of Virginia LLC
164 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334
Inova Health Care Services
185 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Johns Hopkins University
196 mi
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1578569240 (410) 955-5000
Hospitalist Medicine Physicians Of Pennsylvania, P.C.
196 mi
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 clinicians in this Medicare group
NPI 1639464308 (814) 443-5000
M Medical Group, Inc.
197 mi
Critical Care Medicine
9106 PINE VIEW LN
Clinton, MD 20735
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 144 clinicians in this Medicare group
NPI 1780056168 (301) 856-2930
Luminis Health Medical Group, LLC
201 mi
Clinic/Center
2970 BELCREST CENTER DR
Hyattsville, MD 20782
  • Reassigned Medicare billing, Maryland enrollment
  • 794 clinicians in this Medicare group
NPI 1811494990 (443) 481-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$87.15 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$33.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Nidal Babaa's NPI number?

The NPI number for Nidal Babaa is 1396150371. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Nidal Babaa located?

Nidal Babaa practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Nidal Babaa's specialty?

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

Is Nidal Babaa enrolled in Medicare?

Yes. Nidal Babaa 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.

Which organizations bill Medicare for Nidal Babaa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidal Babaa reassigns Medicare benefits to 30 organizations: Emergency Medicine Associates P.A., P.C. (Culpeper, VA), Hospitalist Medicine Physicians Of Virginia - Richmond, LLC (Richmond, VA), Mary Washington Healthcare Providers LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA) and 25 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nidal Babaa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nidal Babaa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nidal Babaa 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 Nidal Babaa affiliated with any hospitals?

According to CMS data, Nidal Babaa is affiliated with Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Nidal Babaa was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.