NPIMap

Individual provider Active NPI

Abdo Balikcioglu, MD

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1457366015
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
187411 Issued in NY
Practice address
625 E Fordham Rd
Bronx, NY 10458-5049
Phone
(917) 708-0547
Fax
(718) 563-4039
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 187411 NY Primary

Addresses

Primary practice location

625 E Fordham Rd
Bronx, NY 10458-5049

Mailing address

1725 E 12TH St
Suit 202
Brooklyn, NY 11229-1028
Phone (718) 265-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000958 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 1254226806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Prime Quality Medical Care PCGroup PAC ID 4183726243, 2 clinicians

Practice addresses (Care Compare)

1645 E 19TH St
Brooklyn, NY 11229-1311
Phone (718) 265-5858

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137411NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Ave Family Medical Center Inc CurrentSince Dec 1, 2019 Accepting new patients
Prime Quality Medical Care PC CurrentSince Oct 20, 2011 Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Montefiore Medical Center Gastroenterology PastSince Feb 24, 2018 Accepting new patients
We Care Walk-in Medical Services, P.C. Past Accepting new patients

Locations

2391 Bell Blvd
Ste 101
Bayside, NY 11360
Phone (718) 224-7977

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

1725 E 12th St
Ste 202
Brooklyn, NY 11229
Phone (718) 265-5858

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

1645 E 19th St
Brooklyn, NY 11229
Phone (718) 265-5858

1645 E 19th St
Fl 1
Brooklyn, NY 11229

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHAACA/Endpoint/EHAACA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1457366015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST",
            "address_2": "SUIT 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291028",
            "telephone_number": "718-265-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "917-708-0547",
            "fax_number": "718-563-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIKCIOGLU",
        "first_name": "ABDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "187411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.