Rafia Qandeel Baloch, M.D.
Individual provider Active NPI Pediatrics Physician · Plainsboro, NJ
NPI 1144589490 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1144589490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25MA09778300 (NJ)
- Practice address
- 1 Plainsboro Rd
Plainsboro, NJ 08536-1913 - Phone
- (609) 853-6500
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170907002668 | WA | Practitioner - Pediatric Medicine | 3577857606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09778300 | NJ | MD | Pediatrics Physician |
| MD60774405 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Childrens Hospital | Current |
Accepting new patients | |
| Seattle Children'S Hospital | Current |
Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- rbaloch36016@direct.seattlechildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60774405 | WA | |
| Pediatrics Physician | 208000000X | 25MA09778300 | NJ | Yes |
Addresses
Primary practice location
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Mailing address
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-9500
Other practice location 1
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9359
Other providers in Plainsboro, NJ
- B Bang MD PA
- Alli Bacher
- Sonsook Baik
- Patricia Aligno Bajaj
- Mathushyka Baksh
- Bancroft, a New Jersey Nonprofit Corporation
- Bancroft, a New Jersey Nonprofit Corporation
- Bancroft, a New Jersey Nonprofit Corporation
- Bancroft, a New Jersey Nonprofit Corporation
- Bancroft, a New Jersey Nonprofit Corporation
All providers in Plainsboro, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.