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ABRAHAM BALLAH NP
NPI 1578716338
Nurse Practitioner in Worcester, MA

Active since October 24, 2008PECOS EnrolledAccepts Medicare Assignment
1 W BOYLSTON ST, SUITE 206, WORCESTER, MA 01605(508) 854-2636 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Abraham Ballah Np NPPES

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

ABRAHAM BALLAH NP (NPI 1578716338) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (252550) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1578716338
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameABRAHAM BALLAHCredential: NP
Location Address1 W BOYLSTON ST, SUITE 206Worcester, MA 01605-1265
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Phone(508) 854-2636
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 24, 2008
Last NPPES UpdateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
✔ NPI 1578716338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 252550
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 W BOYLSTON ST, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Abraham Ballah Np 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 ID1850452731
PECOS Enrollment IDI20081210000656
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 6

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
871 services105 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
290 services103 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.
101 services92 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.
43 services36 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
30 services25 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.
21 services18 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims332 services$7.08 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 18

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

LUNA HIDAYA M.D.
Internal Medicine
1 W BOYLSTON ST
WORCESTER, MA 01605
Worcester County (508) 334-8802
ANTONIOS MOUZAKIS MD
Internal Medicine
1 W BOYLSTON ST
WORCESTER, MA 01605
Worcester County (508) 854-2636
DR. NANCY G SAID M.D.
Internal Medicine
1 W BOYLSTON ST
WORCESTER, MA 01605
Worcester County (508) 854-2636
DR. RITA J SEMAAN
Internal Medicine
1 W BOYLSTON ST, SUITE 206
WORCESTER, MA 01605
Worcester County (508) 854-2636
GROVE STREET CHIROPRACTIC, INC.
Chiropractor
1 W BOYLSTON ST, LL03
WORCESTER, MA 01605
Worcester County (508) 797-3200
DR. DANIEL R MASSARELLI M.D.
Internal Medicine
1 W BOYLSTON ST
WORCESTER, MA 01605
Worcester County (508) 334-8802
RUTH NINOSKA LAINEZ URRUTIA MD
Internal Medicine
1 W BOYLSTON ST
WORCESTER, MA 01605
Worcester County (508) 854-2636
SEONG YOON KIM MD
Internal Medicine
1 W BOYLSTON ST
WORCESTER, MA 01605
Worcester County (508) 854-2636

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 Abraham Ballah's NPI number?

The NPI number for Abraham Ballah is 1578716338. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Abraham Ballah located?

Abraham Ballah practices at 1 W Boylston St Suite 206, Worcester, MA 01605. The listed phone number is (508) 854-2636.

What is Abraham Ballah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Abraham Ballah enrolled in Medicare?

Yes. Abraham Ballah 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.

What insurance does Abraham Ballah accept?

Health plans from Anthem Blue Cross and Blue Shield list Abraham Ballah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abraham Ballah affiliated with any hospitals?

According to CMS data, Abraham Ballah is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Abraham Ballah was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.