DR. NASIM BABAIDORABAD M.D.
NPI 1649618851
Pathology - Anatomic Pathology & Clinical Pathology in Modesto, CA

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment
63.51/100
CMS Quality Rating
4301 NORTHSTAR WAY, MODESTO, CA 95356(209) 577-1200(209) 577-6517 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2021, Sep 24, 2020, Jun 17, 2019 (3 updates tracked since 2019).

About Dr. Nasim Babaidorabad M.d. NPPES

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

DR. NASIM BABAIDORABAD M.D. (NPI 1649618851) is an individual anatomic pathology & clinical pathology provider in Modesto, California, licensed in California (A139214) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Hollywood, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1649618851
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. NASIM BABAIDORABADCredential: M.D.
Location Address4301 NORTHSTAR WAYModesto, CA 95356-9262
Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 577-1200 · Fax (209) 577-6517
Fax(209) 577-6517
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 10, 2013
Last NPPES UpdateJuly 13, 20213 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
NPI 1649618851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · A139214
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

4301 NORTHSTAR WAY, Modesto, CA 95356

Secondary Practice Location 1

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (908) 656-2445

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. Nasim Babaidorabad 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.

PECOS PAC ID2668898560
PECOS Enrollment IDI20200821000784
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 16

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
461 services96 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
437 services260 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
228 services147 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
193 services145 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
169 services57 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
88 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

63.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Pathology (Anatomic Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Specialist
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356

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 Nasim Babaidorabad's NPI number?

The NPI number for Nasim Babaidorabad is 1649618851. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Nasim Babaidorabad located?

Nasim Babaidorabad practices at 4301 Northstar Way, Modesto, CA 95356. The listed phone number is (209) 577-1200.

What is Nasim Babaidorabad's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nasim Babaidorabad enrolled in Medicare?

Yes. Nasim Babaidorabad 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.

When was this NPI record last updated?

The NPPES record for Nasim Babaidorabad was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.