DR. ABDO BALIKCIOGLU MD
NPI 1457366015
Internal Medicine - Gastroenterology in Bronx, NY

Active since July 30, 2006PECOS Enrolled
625 E FORDHAM RD, BRONX, NY 10458(917) 708-0547(718) 563-4039 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Abdo Balikcioglu Md NPPES

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

DR. ABDO BALIKCIOGLU MD (NPI 1457366015) is an individual gastroenterology provider in Bronx, New York, licensed in New York (187411) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1457366015
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ABDO BALIKCIOGLUCredential: MD
Location Address625 E FORDHAM RDBronx, NY 10458-5049
Mailing Address1725 E 12th St, Suit 202Brooklyn, NY 11229-1028 · (718) 265-5858
Fax(718) 563-4039
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 30, 2015
NPI 1457366015 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 NY · 187411
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.
625 E FORDHAM RD, Bronx, NY 10458

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Abdo Balikcioglu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254226806
PECOS Enrollment IDI20040220000958
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 16

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
493 services86 patients
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.
329 services62 patients
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.
106 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
93 services80 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
90 services41 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.
85 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10458 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.38 avg. paid by Medicare
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
1 supplier12 claims12 services$47.94 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.

Physician Assistant
625 E FORDHAM RD
BRONX, NY 10458
Internal Medicine (Rheumatology)
625 E FORDHAM RD
BRONX, NY 10458
Durable Medical Equipment & Medical Supplies (Customized Equipment)
625 E FORDHAM RD
BRONX, NY 10458
Clinic/Center (Multi-Specialty)
625 E FORDHAM RD
BRONX, NY 10458
Physician Assistant
625 E FORDHAM RD
BRONX, NY 10458
Clinic/Center (Adult Day Care)
625 E FORDHAM RD
BRONX, NY 10458
Physical Therapist
625 E FORDHAM RD
BRONX, NY 10458
Clinic/Center (Dental)
625 E FORDHAM RD
BRONX, NY 10458

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 Abdo Balikcioglu's NPI number?

The NPI number for Abdo Balikcioglu is 1457366015. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Abdo Balikcioglu located?

Abdo Balikcioglu practices at 625 E Fordham Rd, Bronx, NY 10458. The listed phone number is (917) 708-0547.

What is Abdo Balikcioglu's specialty?

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

Is Abdo Balikcioglu enrolled in Medicare?

Yes. Abdo Balikcioglu is registered in the Medicare PECOS enrollment system.

Is Abdo Balikcioglu affiliated with any hospitals?

According to CMS data, Abdo Balikcioglu is affiliated with Mount Sinai Hospital, Montefiore Medical Center and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for Abdo Balikcioglu was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.