DR. MOSTAFA BALBOUL MD
NPI 1780208041
Hospitalist in Rochester, NY

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7870 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2025, Jan 2, 2025, Jun 2, 2020 (3 updates tracked since 2020).

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 is a graduate of Other (2020).

NPPES Registry Identity

NPI1780208041
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MOSTAFA BALBOULCredential: MD
Location Address1555 LONG POND RDRochester, NY 14626-4164
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1780208041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 333551
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA12454900 (NJ), 333551 (NY)
1555 LONG POND RD, Rochester, NY 14626

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

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.

PECOS PAC ID244768133
PECOS Enrollment IDI20250106001617
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.

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, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Emergency Medicine
1555 LONG POND RD
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.

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 18 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.