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DR. JIBRIL ASHIRU-BALOGUN MD
NPI 1669047551
Emergency Medicine in Newark, NJ

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE, NEWARK, NJ 07112(732) 557-2604 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Apr 3, 2026, Jul 6, 2024 and 1 more (4 updates tracked since 2021).

About Dr. Jibril Ashiru-balogun Md NPPES

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

DR. JIBRIL ASHIRU-BALOGUN MD (NPI 1669047551) is an individual emergency medicine provider in Newark, New Jersey, licensed in New Jersey (25MA12329500) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1669047551
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JIBRIL ASHIRU-BALOGUNCredential: MD
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address99 Highway 37 WToms River, NJ 08755-6423 · (732) 557-2604
Phone(732) 557-2604
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 24, 2021
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1669047551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA12329500✔ Licensed in WI · 85833-20✔ Licensed in IL · 036.176827
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 85833-20 (WI), 036.176827 (IL), 25MA12329500 (NJ)
201 LYONS AVE, Newark, NJ 07112
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000 · Fax (815) 599-7974
Location 2875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500
Location 31000 Mineral Point AveJanesville, WI 53548-2940 · Phone (608) 756-6868
Location 4901 Grant StHarvard, IL 60033-1821 · Phone (815) 943-5431
Location 5N2950 State Road 67Lake Geneva, WI 53147-2655 · Phone (262) 245-0535
Location 68201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jibril Ashiru-balogun 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 ID8123550449
PECOS Enrollment IDI20251008001530
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Jibril Ashiru-balogun reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC
6.0 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Rwjbh Emergency Medicine Associates, LLC
20 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Mercy Health System Corporation
752 mi
Critical Access
N2950 STATE ROAD 67
Lake Geneva, WI 53147
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1669685129 (Wisconsin), NPI 1598718603 (Illinois)
  • 271 clinicians in this Medicare group
NPI 1699728550 (262) 245-0535
Mercy Harvard Hospital Inc
754 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431
Rockford Health Physicians
772 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Freeport Regional Health Care Foundation
805 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Freeport Memorial Hospital
805 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
57 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services14 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
BRIAN CAO MD
Anesthesiology (Pediatric Anesthesiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

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 Jibril Ashiru-balogun's NPI number?

The NPI number for Jibril Ashiru-balogun is 1669047551. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Jibril Ashiru-balogun located?

Jibril Ashiru-balogun practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (732) 557-2604.

What is Jibril Ashiru-balogun's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jibril Ashiru-balogun enrolled in Medicare?

Yes. Jibril Ashiru-balogun 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 Jibril Ashiru-balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jibril Ashiru-balogun reassigns Medicare benefits to 7 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Mercy Health System Corporation (Lake Geneva, WI), Mercy Harvard Hospital Inc (Harvard, IL), Rockford Health Physicians (Rockford, IL) and 2 more organizations, listed in the Medicare section above. 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 Jibril Ashiru-balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jibril Ashiru-balogun accept?

Health plans from Anthem Blue Cross and Blue Shield list Jibril Ashiru-balogun 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 Jibril Ashiru-balogun affiliated with any hospitals?

According to CMS data, Jibril Ashiru-balogun is affiliated with Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Jibril Ashiru-balogun was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.