1. Home
  2. Directory
  3. Kentucky
  4. Bowling Green
  5. Internal Medicine
  6. NPI Profile

ALI BALTAJI
NPI 1912559691
Internal Medicine - Nephrology in Bowling Green, KY

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
720 2ND AVE STE 203, BOWLING GREEN, KY 42101(270) 843-5114(270) 745-1230 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Jul 12, 2019 (2 updates tracked since 2019).

About Ali Baltaji NPPES

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

ALI BALTAJI (NPI 1912559691) is an individual nephrology provider in Bowling Green, Kentucky, licensed in Kentucky (59321) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1912559691
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameALI BALTAJI
Location Address720 2ND AVE STE 203Bowling Green, KY 42101-1778
Mailing Address720 2nd Ave Ste 203Bowling Green, KY 42101-1778 · (217) 518-6382
Phone(270) 843-5114
Fax(270) 745-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2019
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1912559691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in KY · 59321
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125074501 (IL)
720 2ND AVE STE 203, Bowling Green, KY 42101
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 N Busey apt 7Urbana, IL 61801 · Phone (217) 518-6382

Other Identifiers 1

Medicaid7100981060KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Ali Baltaji 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 ID6204163645
PECOS Enrollment IDI20240814003635
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 6

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 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.
485 services150 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.
77 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services66 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
60 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services48 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.
28 services24 patients

Hospital Affiliations CMS Care Compare 3

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.26 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HUGHES SHUEMAKER M.D.
Internal Medicine (Nephrology)
720 2ND AVE STE 203
BOWLING GREEN, KY 42101
Warren County (270) 843-5114
ARRSH BAJAJ M.B.B.S
Internal Medicine (Nephrology)
720 2ND AVE STE 203
BOWLING GREEN, KY 42101
Warren County (270) 843-5114

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 Ali Baltaji's NPI number?

The NPI number for Ali Baltaji is 1912559691. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Ali Baltaji located?

Ali Baltaji practices at 720 2nd Ave Ste 203, Bowling Green, KY 42101. The listed phone number is (270) 843-5114.

What is Ali Baltaji's specialty?

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

Is Ali Baltaji enrolled in Medicare?

Yes. Ali Baltaji 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 Ali Baltaji accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Ali Baltaji 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 Ali Baltaji affiliated with any hospitals?

According to CMS data, Ali Baltaji is affiliated with The Medical Center (bowling Green), Tristar Greenview Regional Hospital and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Ali Baltaji was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.