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FAUZIA BAQAI M.D.
NPI 1689860439
Obstetrics & Gynecology in Fayetteville, NC

Active since September 14, 2007PECOS EnrolledAccepts Medicare Assignment
413 OWEN DR STE 101, FAYETTEVILLE, NC 28304(910) 609-3750(910) 615-9653 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2025, May 17, 2025 (2 updates tracked since 2025).

About Fauzia Baqai M.d. NPPES

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

FAUZIA BAQAI M.D. (NPI 1689860439) is an individual obstetrics & gynecology provider in Fayetteville, North Carolina, licensed in North Carolina (2009-00200) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1689860439
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameFAUZIA BAQAICredential: M.D.
Location Address413 OWEN DR STE 101Fayetteville, NC 28304-3490
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-3500 · Fax (910) 615-3560
Phone(910) 609-3750
Fax(910) 615-9653
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 14, 2007
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1689860439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 2009-00200✔ Licensed in MD · D0066668
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.
413 OWEN DR STE 101, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Fauzia Baqai 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 ID2567545585
PECOS Enrollment IDI20090420000306
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

4

Medicare enrollment records show Fauzia Baqai reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Fear Valley Health Medical Group LLC
Same address
Gynecologic Oncology
413 OWEN DR STE 101
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1336948322 (910) 609-3750
Cumberland County Hospital System Inc
0.1 mi
Vascular Surgery
1251 OLIVER ST
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1497476642 (910) 822-6587
Hoke Healthcare, LLC
9.8 mi
Urgent Care
300 MEDICAL PAVILION DR, SUITE 150
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 64 clinicians in this Medicare group
NPI 1730439654 (910) 904-8020
Bladen Healthcare, LLC
29 mi
Rural Health
16 3RD ST
Dublin, NC 28332
  • Reassigned Medicare billing, North Carolina enrollment
  • 170 clinicians in this Medicare group
NPI 1114193695 (910) 862-3528

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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services13 patients
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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 5

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

SMITH & KOLB FAMILY PRACTICE, PLLC
Nurse Practitioner (Family)
413 OWEN DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 740-4361
DR. MELVIN HENDERSON M.D.
Obstetrics & Gynecology
413 OWEN DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-4880
CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Obstetrics & Gynecology (Gynecologic Oncology)
413 OWEN DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-3750
DR. LEAH SWANZY SCARLOTTA MD
Obstetrics & Gynecology
413 OWEN DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-3750
SANDRA KOLB NP
Nurse Practitioner (Family)
413 OWEN DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 491-3947

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 Fauzia Baqai's NPI number?

The NPI number for Fauzia Baqai is 1689860439. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Fauzia Baqai located?

Fauzia Baqai practices at 413 Owen Dr Ste 101, Fayetteville, NC 28304. The listed phone number is (910) 609-3750.

What is Fauzia Baqai's specialty?

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

Is Fauzia Baqai enrolled in Medicare?

Yes. Fauzia Baqai 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 Fauzia Baqai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fauzia Baqai reassigns Medicare benefits to 4 organizations: Cape Fear Valley Health Medical Group LLC (Fayetteville, NC), Cumberland County Hospital System Inc (Fayetteville, NC), Hoke Healthcare, LLC (Raeford, NC) and Bladen Healthcare, LLC (Dublin, NC). 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 Fauzia Baqai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fauzia Baqai accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Fauzia Baqai 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 Fauzia Baqai affiliated with any hospitals?

According to CMS data, Fauzia Baqai is affiliated with Cape Fear Valley Medical Center and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for Fauzia Baqai was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.