QURATULAIN IQBAL BAWANEY MD
NPI 1528383502
Family Medicine in Brockton, MA
NPI Status: Active since April 01, 2010
Contact Information
940 BELMONT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 583-4500
- Individual
- Female
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About QURATULAIN BAWANEY
This page provides the complete NPI Profile along with additional information for Quratulain Bawaney, a primary care provider established in Brockton, Massachusetts with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1528383502 assigned on April 2010. The practitioner's primary taxonomy code is 207Q00000X with license number ME118450 (FL). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1528383502
- Provider Name
- QURATULAIN IQBAL BAWANEY MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 940 BELMONT ST BROCKTON, MA 02301
- Location Phone
- (508) 583-4500
- Mailing Address
- 940 BELMONT ST BROCKTON, MA 02301
- Mailing Phone
- (508) 583-4500
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2010
- Last Update Date
- 08-17-2015
- Code Navigator
A primary care provider (PCP) like Quratulain Bawaney sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME118450
- License State
- FL
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Quratulain Bawaney is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 3 | 8 | 3 | 5 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 6 | 8 | 6 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 6 + 8 + 6 + 5 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1528383502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CHERI LEONARD PA-C
Physician Assistant
(Medical)
940 BELMONT ST
DEPARTMENT 127
BROCKTON, MA
ZIP 02301
MR. DENNI J. WOODMANSEE PA-C
Physician Assistant
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MS. NANCY ELIZABETH GENDREAU NP
Nurse Practitioner
(Gerontology)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
DR. JOHN C BRADLEY M.D.
Psychiatry & Neurology
(Psychiatry)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MARYLOU GREGORY-LEE NP
Nurse Practitioner
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MS. EILEEN NANCY WILMARTH-GUERETTE RN
Nurse Practitioner
(Primary Care)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MS. ELLEN ELIZABETH ENDRES RNP
Nurse Practitioner
(Adult Health)
940 BELMONT ST
PRIMARY CARE CLINIC (11A)
BROCKTON, MA
ZIP 02301
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA
ZIP 02301
JANICE MAKARCHUK
Dietitian, Registered
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MRS. CAROLYN MARGRETTA SHAKUR PT
Physical Therapist
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MRS. CATHERINE F. CAHILL RD
Dietitian, Registered
940 BELMONT ST
NUTRITION & FOOD SERVICE (120)
BROCKTON, MA
ZIP 02301
MRS. PATRICIA MARIE COLLINS RD, CDE
Dietitian, Registered
(Nutrition, Metabolic)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MR. DAVID FRANK MARSZALEK OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON VAMC-BLDG 4, ROOM A204
BROCKTON, MA
ZIP 02301
MS. ANNMARIE FREDERICKS N.P.
Nurse Practitioner
(Adult Health)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
DR. LOUISE BONNIE GRAHAM PH.D.
Psychologist
(Counseling)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
DR. KYUNG H LEE M.D
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
DR. KEVIN C TOOLIN O.D
Optometrist
940 BELMONT ST
VA BROCKTON EYE CLINIC
BROCKTON, MA
ZIP 02301
DR. JAMES DOUGLASS BROOKS O.D.
Optometrist
940 BELMONT ST
BROCKTON, MA
ZIP 02301
SUSAN K. SINK MSW,LICSW
Social Worker
(Clinical)
940 BELMONT ST
BROCKTON, MA
ZIP 02301
MR. CARL ANTHONY AVENI MSW LICSW
Social Worker
(Clinical)
940 BELMONT ST
WARD 2-3-C
BROCKTON, MA
ZIP 02301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528383502, enumerated as an "individual" on April 01, 2010.
The provider is located at 940 BELMONT ST BROCKTON, MA 02301 and the phone number is (508) 583-4500.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
