DR. BABAK BARMAR MD
NPI 1972667202
Internal Medicine - Nephrology in Martinsburg, WV

Q: What is Babak Barmar's NPI number?

The NPI number for Babak Barmar is 1972667202. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Babak Barmar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Babak Barmar was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment

1004 SUSHRUTA DR, SUITE A, MARTINSBURG, WV 25401(304) 449-3778(304) 449-3777 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2021, Feb 8, 2020 (2 updates tracked since 2020).

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About Dr. Babak Barmar Md NPPES

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

DR. BABAK BARMAR MD (NPI 1972667202) is an individual nephrology provider in Martinsburg, West Virginia, licensed in West Virginia (24463) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1972667202

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. BABAK BARMARCredential: MD

Location Address1004 SUSHRUTA DR, SUITE AMartinsburg, WV 25401-8802

Mailing Address1004 Sushruta Dr, Suite AMartinsburg, WV 25401-8802 · (304) 449-3778 · Fax (304) 449-3777

Phone(304) 449-3778

Fax(304) 449-3777

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateDecember 21, 2006

Last NPPES UpdateMarch 14, 20212 updates tracked since enumeration

NPPES CertifiedMarch 14, 2021

✔ NPI 1972667202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in WV · 24463

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 24463 (WV)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 24463 (WV)

1004 SUSHRUTA DR, Martinsburg, WV 25401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Barmar 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 ID5597947010

PECOS Enrollment IDI20110304000407, I20120125000169

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

Medicare enrollment records show Babak Barmar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kidney Specialists, PLLC

0.4 mi

Medical Specialty

176 HEALTH CARE LN STE A
Martinsburg, WV 25401

Reassigned Medicare billing, Virginia and West Virginia enrollments
5 clinicians in this Medicare group

NPI 1376829671 (304) 262-4123

Hospitalist Medicine Physicians Of Virginia LLC

23 mi

Internal Medicine

1840 AMHERST ST
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
371 clinicians in this Medicare group

NPI 1770756991 (540) 536-4334

Fauquier Physician Practices LLC

53 mi

Internal Medicine

550 HOSPITAL DR
Warrenton, VA 20186

Reassigned Medicare billing, Virginia enrollment
111 clinicians in this Medicare group

NPI 1770916983 (540) 316-5940

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 14

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.

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.

540 services282 patients

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.

498 services145 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

388 services120 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.

136 services108 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.

129 services113 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

107 services16 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

85 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

72 services61 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

62 services18 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

49 services15 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.

48 services43 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

17 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511319

Location300 South Preston StreetRanson, WV 25438 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 9

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

PAMELA CAMPBELL NP

Nurse Practitioner (Family)

1004 SUSHRUTA DR, STE A
MARTINSBURG, WV 25401

Berkeley County (304) 449-3778

KEITH A. RECHT, MD, INC

Urology

1004 SUSHRUTA DR, SUITE A
MARTINSBURG, WV 25401

Berkeley County (304) 263-9418

EAST MOUNTAIN HEALTH PHYSICIANS INC.

Family Medicine

1004 SUSHRUTA DR, SUITE D
MARTINSBURG, WV 25401

Berkeley County (304) 262-2538

DR. CHERRY BELLOSILLO LOBATON MD

Family Medicine

1004 SUSHRUTA DR, STE D
MARTINSBURG, WV 25401

Berkeley County (304) 262-2538

LANCE M. PITTMAN, DDS, MS, INC.

Dentist (Orthodontics and Dentofacial Orthopedics)

1004 SUSHRUTA DR, SUITE B
MARTINSBURG, WV 25401

Berkeley County (304) 596-0425

AMANDA BARTON APRN

Nurse Practitioner (Family)

1004 SUSHRUTA DR
MARTINSBURG, WV 25401

Berkeley County (304) 449-3778

DR. LANCE M PITTMAN D.D.S., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

1004 SUSHRUTA DR, SUITE B
MARTINSBURG, WV 25401

Berkeley County (304) 596-0425

DR. AURELIO BENAVIDES M.D.

Urology

1004 SUSHRUTA DR, SUITE B
MARTINSBURG, WV 25401

Berkeley County (304) 263-4949

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 Barmar's NPI number?

The NPI number for Babak Barmar is 1972667202. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Babak Barmar located?

Babak Barmar practices at 1004 Sushruta Dr Suite A, Martinsburg, WV 25401. The listed phone number is (304) 449-3778.

What is Babak Barmar's specialty?

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

Is Babak Barmar enrolled in Medicare?

Yes. Babak Barmar 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 Barmar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babak Barmar reassigns Medicare benefits to 3 organizations: Kidney Specialists, PLLC (Martinsburg, WV), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA) and Fauquier Physician Practices LLC (Warrenton, VA). 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 Barmar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Babak Barmar accept?

Health plans from CareSource list Babak Barmar 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 Babak Barmar affiliated with any hospitals?

According to CMS data, Babak Barmar is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Babak Barmar was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.