DR. SIMA BAALBAKI MD
NPI 1659767796
Obstetrics & Gynecology in Bronx, NY

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
1695 EASTCHESTER RD, BRONX, NY 10461(718) 405-8200 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sima Baalbaki Md NPPES

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

DR. SIMA BAALBAKI MD (NPI 1659767796) is an individual obstetrics & gynecology provider in Bronx, New York, licensed in New York (298520) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (2019).

NPPES Registry Identity

NPI1659767796
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SIMA BAALBAKICredential: MD
Location Address1695 EASTCHESTER RDBronx, NY 10461-2374
Mailing Address201 E 86th St Apt 24gNew York, NY 10028-3076 · (256) 483-1062
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2019
Enumeration DateApril 14, 2015
Last NPPES UpdateJune 29, 2023
NPPES CertifiedApril 24, 2023
NPI 1659767796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NY · 298520 Licensed in AL · 35410
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1695 EASTCHESTER RD, Bronx, NY 10461

Secondary Practice Locations 2

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (205) 934-5631
Location 21700 6th Ave SBirmingham, AL 35233-1802 · Phone (205) 996-3120

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. Sima Baalbaki 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 ID6608197223
PECOS Enrollment IDI20210629000651
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

Social Worker (Clinical)
1695 EASTCHESTER RD
BRONX, NY 10461
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1695 EASTCHESTER RD
BRONX, NY 10461
Pharmacist
1695 EASTCHESTER RD, ROOM C-136
BRONX, NY 10461
Nurse Practitioner (Family)
1695 EASTCHESTER RD
BRONX, NY 10461
Internal Medicine (Hematology & Oncology)
1695 EASTCHESTER RD
BRONX, NY 10461
Urology
1695 EASTCHESTER RD, SUITE 306
BRONX, NY 10461
Obstetrics & Gynecology
1695 EASTCHESTER RD, SUITE L2
BRONX, NY 10461
Urology
1695 EASTCHESTER RD, SUITE 501
BRONX, NY 10461

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 Sima Baalbaki's NPI number?

The NPI number for Sima Baalbaki is 1659767796. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Sima Baalbaki located?

Sima Baalbaki practices at 1695 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 405-8200.

What is Sima Baalbaki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sima Baalbaki enrolled in Medicare?

Yes. Sima Baalbaki 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 Sima Baalbaki accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Sima Baalbaki 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 Sima Baalbaki was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.