DR. DALIHA AQBAL MD, MS
NPI 1609306612
Internal Medicine - Endocrinology, Diabetes & Metabolism in Winchester, VA

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
519 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601(540) 536-2110(540) 536-2111 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Oct 13, 2022, Jun 13, 2017 (3 updates tracked since 2017).

About Dr. Daliha Aqbal Md, Ms NPPES

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

DR. DALIHA AQBAL MD, MS (NPI 1609306612) is an individual endocrinology, diabetes & metabolism provider in Winchester, Virginia, licensed in Virginia (0101281563) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1609306612
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. DALIHA AQBALCredential: MD, MS
Location Address519 W JUBAL EARLY DR STE 200Winchester, VA 22601-6519
Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 536-2111
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateJune 13, 2017
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1609306612 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 VA · 0101281563
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.
519 W JUBAL EARLY DR STE 200, Winchester, VA 22601

Accepted 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

Dr. Daliha Aqbal Md, Ms 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 ID4284019373
PECOS Enrollment IDI20240918001665
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 8

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.

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.
189 services175 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
113 services113 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
107 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services48 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
44 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers13 claims13 services$197.81 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 6

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

Physician Assistant
519 W JUBAL EARLY DR STE 200
WINCHESTER, VA 22601
Internal Medicine (Endocrinology, Diabetes & Metabolism)
519 W JUBAL EARLY DR STE 200
WINCHESTER, VA 22601
Internal Medicine (Endocrinology, Diabetes & Metabolism)
519 W JUBAL EARLY DR STE 200
WINCHESTER, VA 22601
Otolaryngology
519 W JUBAL EARLY DR STE 200
WINCHESTER, VA 22601
Otolaryngology
519 W JUBAL EARLY DR STE 200
WINCHESTER, VA 22601
Internal Medicine
519 W JUBAL EARLY DR STE 200
WINCHESTER, VA 22601

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 Daliha Aqbal's NPI number?

The NPI number for Daliha Aqbal is 1609306612. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Daliha Aqbal located?

Daliha Aqbal practices at 519 W Jubal Early Dr Ste 200, Winchester, VA 22601. The listed phone number is (540) 536-2110.

What is Daliha Aqbal's specialty?

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

Is Daliha Aqbal enrolled in Medicare?

Yes. Daliha Aqbal 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 Daliha Aqbal accept?

Health plans from CareSource list Daliha Aqbal 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 Daliha Aqbal affiliated with any hospitals?

According to CMS data, Daliha Aqbal is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Valley Health War Memorial Hospital and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daliha Aqbal was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.