DR. NIMA BARADARAN M.D.
NPI 1821356395
Urology in Virginia Beach, VA

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462(757) 457-5100(757) 961-3696 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2023, Mar 17, 2021, Aug 1, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Nima Baradaran M.d. NPPES

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

DR. NIMA BARADARAN M.D. (NPI 1821356395) is an individual urology provider in Virginia Beach, Virginia, licensed in Virginia (0101280701) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1821356395
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. NIMA BARADARANCredential: M.D.
Location Address225 CLEARFIELD AVEVirginia Beach, VA 23462-1815
Mailing Address225 Clearfield AveVirginia Beach, VA 23462-1815 · (757) 457-5100 · Fax (757) 961-3696
Fax(757) 961-3696
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 2, 2012
Last NPPES UpdateOctober 22, 20245 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
NPI 1821356395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in VA · 0101280701 Licensed in OH · 35134070
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

225 CLEARFIELD AVE, Virginia Beach, VA 23462

Secondary Practice Location 1

Location 1915 Olentangy River Rd Ste 2000Columbus, OH 43212-3159 · Phone (614) 293-8155 · Fax (614) 293-3565

Accepted Insurance

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. Nima Baradaran 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 ID5698064418
PECOS Enrollment IDI20240226004067
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 33

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,800 services12 patients
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml Q9958
High osmolar contrast material with up to 149 mg/ml iodine concentration is a type of dye used in certain medical imaging tests. It helps to highlight specific areas within the body, making them easier to see on the images. It's safe and generally well-tolerated.
1,170 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
376 services305 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
308 services298 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.
191 services162 patients
Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie A9596
Gallium Ga-68 Gozetotide (Illuccix) is a diagnostic procedure using a radioactive tracer. It helps visualize certain types of tumors in your body by injecting a small amount of radioactive material. This is safe and aids doctors in accurate diagnosis and treatment planning.
175 services35 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims14 services$4.60 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers24 claims4,470 services$0.10 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier12 claims14 services$2.14 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims385 services$1.94 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers50 claims8,860 services$1.61 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
6 suppliers22 claims7,010 services$5.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physician Assistant
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462

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 Nima Baradaran's NPI number?

The NPI number for Nima Baradaran is 1821356395. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Nima Baradaran located?

Nima Baradaran practices at 225 Clearfield Ave, Virginia Beach, VA 23462. The listed phone number is (757) 457-5100.

What is Nima Baradaran's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nima Baradaran enrolled in Medicare?

Yes. Nima Baradaran 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.

What insurance does Nima Baradaran accept?

Health plans from CareSource list Nima Baradaran 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 Nima Baradaran affiliated with any hospitals?

According to CMS data, Nima Baradaran is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Nima Baradaran was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.