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DR. BHUMIKA BALGOBIN MD
NPI 1700984457
Psychiatry & Neurology - Neurology in New York, NY

Active since September 20, 2006PECOS Enrolled
84.47/100
CMS Quality Rating
530 1ST AVE STE 9Q, NEW YORK, NY 10016(212) 263-7225 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2019, Aug 19, 2016 (2 updates tracked since 2016).

About Dr. Bhumika Balgobin Md NPPES

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

DR. BHUMIKA BALGOBIN MD (NPI 1700984457) is an individual neurology provider in New York, New York, licensed in New York (290374) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700984457
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BHUMIKA BALGOBINCredential: MD
Location Address530 1ST AVE STE 9QNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 9qNew York, NY 10016-6402 · (212) 263-7225
Phone(212) 263-7225
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration
✔ NPI 1700984457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 290374
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

530 1ST AVE STE 9Q, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 1

Medicaid00246075NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bhumika Balgobin Md 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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
188 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
81 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services57 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.
47 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 4

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

DR. PATRICIO MILLAR VERNETTI MD
Psychiatry & Neurology (Neurology)
530 1ST AVE STE 9Q
NEW YORK, NY 10016
New York County (212) 263-7225
ANDREANA BARNETT
Nurse Practitioner (Family)
530 1ST AVE STE 9Q
NEW YORK, NY 10016
New York County (212) 263-7225
DR. FELICIA B. AXELROD M.D.
Pediatrics
530 1ST AVE STE 9Q
NEW YORK, NY 10016
New York County (212) 263-7225
KAIA LEE DALAMO DNP, FNP
Nurse Practitioner (Family)
530 1ST AVE STE 9Q
NEW YORK, NY 10016
New York County (212) 263-7225

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 Bhumika Balgobin's NPI number?

The NPI number for Bhumika Balgobin is 1700984457. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Bhumika Balgobin located?

Bhumika Balgobin practices at 530 1st Ave Ste 9Q, New York, NY 10016. The listed phone number is (212) 263-7225.

What is Bhumika Balgobin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Bhumika Balgobin enrolled in Medicare?

Yes. Bhumika Balgobin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bhumika Balgobin was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.