DR. MOSTAFA BALBOUL MD
NPI 1780208041
Hospitalist in Rochester, NY
About Dr. Mostafa Balboul Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOSTAFA BALBOUL MD (NPI 1780208041) is an individual hospitalist provider in Rochester, New York, licensed in New York (333551) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and maintains a secondary practice location in Flemington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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. Mostafa Balboul 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mostafa Balboul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14626
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
Rochester, NY 14626
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Flemington, NJ 08822
- Reassigned Medicare billing, New Jersey enrollment
- 65 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hunterdon Medical Center
Acute Care Hospitals · Flemington, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, NY 14626
ROCHESTER, NY 14626
ROCHESTER, NY 14626
ROCHESTER, NY 14626
ROCHESTER, NY 14626
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 Mostafa Balboul's NPI number?
The NPI number for Mostafa Balboul is 1780208041. It was assigned to this individual provider in the NPPES registry on June 2, 2020.
Where is Mostafa Balboul located?
Mostafa Balboul practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7870.
What is Mostafa Balboul's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mostafa Balboul enrolled in Medicare?
Yes. Mostafa Balboul 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 Mostafa Balboul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mostafa Balboul reassigns Medicare benefits to 3 organizations: The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY) and Hunterdon Medical Center (Flemington, NJ). 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 Mostafa Balboul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mostafa Balboul accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Mostafa Balboul 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 Mostafa Balboul affiliated with any hospitals?
According to CMS data, Mostafa Balboul is affiliated with Hunterdon Medical Center.
When was this NPI record last updated?
The NPPES record for Mostafa Balboul was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Mostafa Balboul, MD · NPI 1780208041
Hospitalist physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since June 2, 2020.
## Identity
- **NPI:** 1780208041 (Entity type: Individual)
- **Enumerated:** June 2, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 333551 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1555 LONG POND RD, Rochester, NY 14626-4164
- **Phone:** (585) 723-7870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Unity Hospital Of Rochester (NPI 1760421713, Rochester, NY); Rochester General Hospital (NPI 1356412712, Rochester, NY); Hunterdon Medical Center (NPI 1023395316, Flemington, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780208041) · Data from the CMS NPPES public registry.