RASHEED BALOGUN M.D.
NPI 1760511711
Internal Medicine - Nephrology in Charlottesville, VA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
UVA HOSPITAL W, HOSPITAL DRIVE, CHARLOTTESVILLE, VA 22908(434) 924-1984(434) 982-0797 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rasheed Balogun M.d. NPPES

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

RASHEED BALOGUN M.D. (NPI 1760511711) is an individual nephrology provider in Charlottesville, Virginia, licensed in Virginia (0101231690) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1760511711
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRASHEED BALOGUNCredential: M.D.
Location AddressUVA HOSPITAL W, HOSPITAL DRIVECharlottesville, VA 22908-0001
Mailing Address500 Ray C Hunt DrCharlottesville, VA 22903-2981 · (434) 980-6140 · Fax (434) 972-4266
Fax(434) 982-0797
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760511711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in VA · 0101231690
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
UVA HOSPITAL W, Charlottesville, VA 22908

Other Identifiers 2

Medicaid5862744VA
Medicare UPIN573113VA

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

Rasheed Balogun 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 ID9436169372
PECOS Enrollment IDI20060421000510
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 14

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 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.
127 services69 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
111 services26 patients
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.
94 services61 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.
86 services61 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.
69 services52 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
62 services42 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Internal Medicine (Nephrology)
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908
Surgery (Pediatric Surgery)
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908
Internal Medicine (Cardiovascular Disease)
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908
Internal Medicine (Critical Care Medicine)
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908
Neurological Surgery
UVA HOSPITAL W, HOSPITAL DRIVE, 4TH FLOOR
CHARLOTTESVILLE, VA 22908
Urology
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908
Internal Medicine (Cardiovascular Disease)
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908
Internal Medicine (Critical Care Medicine)
UVA HOSPITAL W, HOSPITAL DRIVE
CHARLOTTESVILLE, VA 22908

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 Rasheed Balogun's NPI number?

The NPI number for Rasheed Balogun is 1760511711. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Rasheed Balogun located?

Rasheed Balogun practices at Uva Hospital W Hospital Drive, Charlottesville, VA 22908. The listed phone number is (434) 924-1984.

What is Rasheed Balogun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rasheed Balogun enrolled in Medicare?

Yes. Rasheed 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.

Is Rasheed Balogun affiliated with any hospitals?

According to CMS data, Rasheed Balogun is affiliated with University Of Virginia Medical Center and Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Rasheed Balogun was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.