DR. JOHN BABALOLA M.D.
NPI 1487613626
Surgery in Valley Stream, NY

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.97/100
CMS Quality Rating
260 W SUNRISE HWY, STE 200, VALLEY STREAM, NY 11581(516) 825-3600 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2017, Mar 30, 2016, Feb 18, 2016 and 1 more (4 updates tracked since 2015).

About Dr. John Babalola M.d. NPPES

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

DR. JOHN BABALOLA M.D. (NPI 1487613626) is an individual surgery provider in Valley Stream, New York, licensed in New York (229550) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1996).

NPPES Registry Identity

NPI1487613626
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN BABALOLACredential: M.D.
Location Address260 W SUNRISE HWY, STE 200Valley Stream, NY 11581-1011
Mailing Address55 Water St, 12th Floor, CredentialingNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1996
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 2, 20174 updates tracked since enumeration
NPI 1487613626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 229550
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
260 W SUNRISE HWY, Valley Stream, NY 11581

Other Identifiers 2

Medicaid02983571NY
Medicare PINA4000160617NY

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. John Babalola 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 ID6507938032
PECOS Enrollment IDI20080627000584
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 13

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
288 services197 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
182 services70 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
173 services80 patients
Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
130 services67 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.
117 services85 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
67 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11581 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

94.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.95
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.

Dentist (General Practice)
260 W SUNRISE HWY
VALLEY STREAM, NY 11581
Dermatology
260 W SUNRISE HWY, SUITE 305
VALLEY STREAM, NY 11581
Internal Medicine (Hematology & Oncology)
260 W SUNRISE HWY, SUITE 200
VALLEY STREAM, NY 11581
Internal Medicine
260 W SUNRISE HWY, SUITE 200 2ND FLOOR
VALLEY STREAM, NY 11581
Obstetrics & Gynecology
260 W SUNRISE HWY, SUITE 200
VALLEY STREAM, NY 11581
Nurse Practitioner (Acute Care)
260 W SUNRISE HWY
VALLEY STREAM, NY 11581
Internal Medicine (Endocrinology, Diabetes & Metabolism)
260 W SUNRISE HWY, SUITE 200
VALLEY STREAM, NY 11581
Internal Medicine
260 W SUNRISE HWY, STE. 200
VALLEY STREAM, NY 11581

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 John Babalola's NPI number?

The NPI number for John Babalola is 1487613626. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John Babalola located?

John Babalola practices at 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581. The listed phone number is (516) 825-3600.

What is John Babalola's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Babalola enrolled in Medicare?

Yes. John Babalola 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 John Babalola was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.