DR. BABAK ETEMAD MD
NPI 1942268057
Internal Medicine - Gastroenterology in Wynnewood, PA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE STE 560, WYNNEWOOD, PA 19096(484) 476-8390(484) 476-7841 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Babak Etemad Md NPPES

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

DR. BABAK ETEMAD MD (NPI 1942268057) is an individual gastroenterology provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD049259L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1989).

NPPES Registry Identity

NPI1942268057
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BABAK ETEMADCredential: MD
Location Address100 E LANCASTER AVE STE 560Wynnewood, PA 19096
Mailing Address100 E Lancaster Ave Ste 560Wynnewood, PA 19096-3450 · (484) 476-8390 · Fax (484) 476-7841
Fax(484) 476-7841
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1989
Enumeration DateMay 1, 2006
Last NPPES UpdateJune 29, 2018
✔ NPI 1942268057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD049259L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
100 E LANCASTER AVE STE 560, Wynnewood, PA 19096

Other Identifiers 1

Medicaid1185345LA

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. Babak Etemad 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 ID4880639863
PECOS Enrollment IDI20241209002703
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Babak Etemad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
Family Medicine
195 FREESTONE RD
Eagle, CO 81631
  • Reassigned Medicare billing, Colorado enrollment
  • 163 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.

Areas of Expertise CMS Part B claims 20

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.
180 services88 patients
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242
This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.
92 services87 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
88 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
77 services67 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.
72 services67 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259
This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.
60 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 5

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 E LANCASTER AVE STE 560
WYNNEWOOD, PA 19096
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 E LANCASTER AVE STE 560
WYNNEWOOD, PA 19096
Nurse Practitioner (Family)
100 E LANCASTER AVE STE 560
WYNNEWOOD, PA 19096
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 E LANCASTER AVE STE 560
WYNNEWOOD, PA 19096
Nurse Practitioner (Adult Health)
100 E LANCASTER AVE STE 560
WYNNEWOOD, PA 19096

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 Babak Etemad's NPI number?

The NPI number for Babak Etemad is 1942268057. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Babak Etemad located?

Babak Etemad practices at 100 E Lancaster Ave Ste 560, Wynnewood, PA 19096. The listed phone number is (484) 476-8390.

What is Babak Etemad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Babak Etemad enrolled in Medicare?

Yes. Babak Etemad 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 Babak Etemad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babak Etemad reassigns Medicare benefits to 2 organizations: Main Line Healthcare (Newtown Square, PA) and Valley View Hospital Association (Eagle, CO). 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 Babak Etemad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Babak Etemad was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.