RUKAYAT BALOGUN M.D.
NPI 1831621648
Family Medicine in Jbsa Lackland, TX

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since March 30, 2017PECOS Enrolled

1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(571) 231-2195 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2024, Aug 13, 2021, Mar 30, 2017 (3 updates tracked since 2017).

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About Rukayat Balogun M.d. NPPES

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

RUKAYAT BALOGUN M.D. (NPI 1831621648) is an individual family medicine provider in Jbsa Lackland, Texas, licensed in Nebraska (31575) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831621648

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameRUKAYAT BALOGUNCredential: M.D.

Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638

Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638

Phone(571) 231-2195

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1831621648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 31575

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rukayat Balogun M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.