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NOUR JAMAL BABA
NPI 1558177394
Physician Assistant in Bradenton, FL

Active since December 06, 2024PECOS Enrolled
3934 E STATE ROAD 64, BRADENTON, FL 34208(941) 777-5665(941) 200-4264 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 5, 2026, Dec 6, 2024 (2 updates tracked since 2024).

About Nour Jamal Baba NPPES

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

NOUR JAMAL BABA (NPI 1558177394) is an individual physician assistant in Bradenton, Florida and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558177394
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNOUR JAMAL BABA
Location Address3934 E STATE ROAD 64Bradenton, FL 34208-9059
Mailing Address3934 E State Road 64Bradenton, FL 34208-9059 · (941) 777-5665 · Fax (941) 200-4264
Phone(941) 777-5665
Fax(941) 200-4264
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 6, 2024
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1558177394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3934 E STATE ROAD 64, Bradenton, FL 34208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nour Jamal Baba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365924438
PECOS Enrollment IDI20260306002471
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DSB VENTURES
Home Health
3934 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 747-9922
MOSAIC MEDICINE, PLLC
Nurse Practitioner (Family)
3934 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (703) 677-1035
CORY LUCAS NP
Nurse Practitioner (Family)
3934 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 777-5665
MOSAIC MEDICINE URGENT CARE, PLLC
Clinic/Center (Urgent Care)
3934 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 777-5665

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 Nour Baba's NPI number?

The NPI number for Nour Baba is 1558177394. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Nour Baba located?

Nour Baba practices at 3934 E State Road 64, Bradenton, FL 34208. The listed phone number is (941) 777-5665.

What is Nour Baba's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nour Baba enrolled in Medicare?

Yes. Nour Baba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nour Baba was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.