APARNA BABURAJ MD
NPI 1558913111
Internal Medicine - Endocrinology, Diabetes & Metabolism in Danville, PA

Q: What is Aparna Baburaj's NPI number?

The NPI number for Aparna Baburaj is 1558913111. It was assigned to this individual provider in the NPPES registry on July 14, 2019.

Q: What is Aparna Baburaj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Aparna Baburaj was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 14, 2019PECOS EnrolledAccepts Medicare Assignment

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6028(570) 271-5845 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 10, 2025, Jul 6, 2023, Aug 19, 2022 and 1 more (4 updates tracked since 2019).

On this page

About Aparna Baburaj Md NPPES

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

APARNA BABURAJ MD (NPI 1558913111) is an individual endocrinology, diabetes & metabolism provider in Danville, Pennsylvania, licensed in Pennsylvania (MD477688) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Geisinger-bloomsburg Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558913111

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameAPARNA BABURAJCredential: MD

Location Address100 N ACADEMY AVEDanville, PA 17822-9800

Mailing Address100 N Academy Ave Ste 140Danville, PA 17822-9800 · (570) 271-6028 · Fax (570) 271-5845

Phone(570) 271-6028

Fax(570) 271-5845

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 14, 2019

Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1558913111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in PA · MD477688

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

100 N ACADEMY AVE, Danville, PA 17822

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aparna Baburaj Md 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 ID5395073902

PECOS Enrollment IDI20220825000452

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.

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390003

Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County

Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

DR. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)