DR. SETAREH LIBOT BALAZADEH M.D.
NPI 1588978795
Internal Medicine in Norwich, CT
About Dr. Setareh Libot Balazadeh M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SETAREH LIBOT BALAZADEH M.D. (NPI 1588978795) is an individual internal medicine provider in Norwich, Connecticut, licensed in Connecticut (49459) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Setareh Libot Balazadeh 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.
Medicare Billing Reassignments
3Medicare enrollment records show Setareh Balazadeh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 178 clinicians in this Medicare group
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 505 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NORWICH, CT 06360
NORWICH, CT 06360
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 Setareh Balazadeh's NPI number?
The NPI number for Setareh Balazadeh is 1588978795. It was assigned to this individual provider in the NPPES registry on July 29, 2010.
Where is Setareh Balazadeh located?
Setareh Balazadeh practices at 326 Washington St William Backus Hospital, Norwich, CT 06360. The listed phone number is (860) 889-8331.
What is Setareh Balazadeh's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Setareh Balazadeh enrolled in Medicare?
Yes. Setareh Balazadeh 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.
Which organizations bill Medicare for Setareh Balazadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Setareh Balazadeh reassigns Medicare benefits to 3 organizations: Middlesex Hospital (Middletown, CT), Midstate Medical Center (Meriden, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Setareh Balazadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Setareh Balazadeh accept?
Health plans from Anthem Blue Cross and Blue Shield list Setareh Balazadeh 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.
When was this NPI record last updated?
The NPPES record for Setareh Balazadeh was last updated on April 25, 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.