SOPHIA BAIG M.D.
NPI 1689086423
Pediatrics in Philadelphia, PA

Active since May 28, 2014PECOS Enrolled
81.19/100
CMS Quality Rating
3601 A ST, PHILADELPHIA, PA 19134(407) 314-6624 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sophia Baig M.d. NPPES

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

SOPHIA BAIG M.D. (NPI 1689086423) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT206931) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689086423
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSOPHIA BAIGCredential: M.D.
Location Address3601 A STPhiladelphia, PA 19134-1043
Mailing Address3601 A StPhiladelphia, PA 19134-1043 · (407) 314-6624
Sole ProprietorNo
Enumeration DateMay 28, 2014
✔ NPI 1689086423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MT206931
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3601 A ST, Philadelphia, PA 19134

Other Names 1

Former Name (1)Sophia Z Habibi M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Baig M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Sophia Baig reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Transplant Surgery
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Neurology
140 NUTT RD
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
Family Medicine
430 N 2ND ST
Reading, PA 19601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

Pediatrics (Pediatric Cardiology)
3601 A ST, SCHC PEDIATRIC ASSOCIATES, LLC
PHILADELPHIA, PA 19134
Orthopaedic Surgery
3601 A ST
PHILADELPHIA, PA 19134
Radiology (Pediatric Radiology)
3601 A ST
PHILADELPHIA, PA 19134
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Endocrinology)
3601 A ST, SECTION OF ENDOCRINOLOGY
PHILADELPHIA, PA 19134
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Pediatrics (Adolescent Medicine)
3601 A ST, NELSON PAVILLION, 2ND FLOOR, FAMILY PLANNING
PHILADELPHIA, PA 19134
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134

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 Sophia Baig's NPI number?

The NPI number for Sophia Baig is 1689086423. It was assigned to this individual provider in the NPPES registry on May 28, 2014. The provider is also known as Sophia Z Habibi M.D..

Where is Sophia Baig located?

Sophia Baig practices at 3601 A St, Philadelphia, PA 19134. The listed phone number is (407) 314-6624.

What is Sophia Baig's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sophia Baig enrolled in Medicare?

Yes. Sophia Baig is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Baig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Baig reassigns Medicare benefits to 3 organizations: Tower Health Medical Group (Philadelphia, PA), Phoenixville Clinic Company LLC (Phoenixville, PA) and Reading Hospital (Reading, PA). 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 Sophia Baig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Baig was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.