Dr Sima Baalbaki, MD - Medicare Obstetrics/gynecology in Bronx, NY

Dr Sima Baalbaki, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bronx, New York. She went to University Of Alabama School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice University Of Alabama Health Services Foundation, Pc and her current practice location is 1695 Eastchester Rd, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 405-8200.

Dr Sima Baalbaki is licensed to practice in New York (license number 298520) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659767796.

Contact Information

Dr Sima Baalbaki, MD
1695 Eastchester Rd,
Bronx, NY 10461-2374
(718) 405-8200
Not Available

Map and Direction




Physician's Profile

Full NameDr Sima Baalbaki
GenderFemale
SpecialityObstetrics/gynecology
Experience6 Years
Location1695 Eastchester Rd, Bronx, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sima Baalbaki attended and graduated from University Of Alabama School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1659767796
  • Provider Enumeration Date: 04/14/2015
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608197223
  • Enrollment ID: I20210629000651

Medical Identifiers

Medical identifiers for Dr Sima Baalbaki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659767796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 35410 (Alabama)Secondary
207V00000XObstetrics & Gynecology 298520 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Alabama HospitalBirmingham, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Alabama Health Services Foundation, Pc19512131072328

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sima Baalbaki allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sima Baalbaki is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sima Baalbaki, MD
201 E 86th St Apt 24g,
New York, NY 10028-3076

Ph: (256) 483-1062
Dr Sima Baalbaki, MD
1695 Eastchester Rd,
Bronx, NY 10461-2374

Ph: (718) 405-8200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.