Ali Baalbaki, MD - Medicare Pain Management in Hampton, VA

Ali Baalbaki, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Hampton, Virginia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Sentara Medical Group and his current practice location is 4000 Coliseum Dr Ste 340, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 827-2230.

Ali Baalbaki is licensed to practice in Virginia (license number 0101243251) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386713600.

Contact Information

Ali Baalbaki, MD
4000 Coliseum Dr Ste 340,
Hampton, VA 23666-5904
(757) 827-2230
(757) 827-2150

Map and Direction




Physician's Profile

Full NameAli Baalbaki
GenderMale
SpecialityPain Management
Experience22 Years
Location4000 Coliseum Dr Ste 340, Hampton, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ali Baalbaki graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1386713600
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012918469
  • Enrollment ID: I20081110000714

Medical Identifiers

Medical identifiers for Ali Baalbaki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386713600NPI-NPPES
202010504OtherUHC
202705274OtherUHC
203722881OtherGREAT WEST
2702705274OtherGREAT WEST
96062904OtherNETWORK
9760971MedicaidMA
AA80768OtherHARVARD PILGRIM
202010504OtherBEECH STREET
AA80768OtherHPHC
1774156OtherCIGNA
202010204OtherMULTIPLANS
202010504OtherEVERCARE
203722881OtherUHC
9750720MedicaidMA
J22499OtherBCBS
1386713600OtherBMC
202010504OtherGREATWEST
202010504OtherUNICARE
41867OtherNHP
202705274OtherGREAT WEST
611000600OtherMADOL
96062901OtherNETWORK
9751921MedicaidMA
30207121MedicaidNH
7895883OtherAETNA
125217OtherFALLON
202010504OtherPHCS
AA80846OtherHPHC
0100021MedicaidMA
100021MedicaidMA
202705274OtherUHP
495726OtherTUFTS
9606290113OtherCHOICE PLUS NETWORK
96062903OtherNETWORK
AA80853OtherHPHC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine 204370 (Massachusetts)Secondary
207LP2900XAnesthesiology - Pain Medicine 0101243251 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Careplex HospitalHampton, VAHospital
Sentara Williamsburg Regional Medical CenterWilliamsburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentara Medical Group89219039231058

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. Ali Baalbaki allows following entities to bill medicare on his behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466

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. Ali 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
Ali Baalbaki, MD
4000 Coliseum Dr Ste 340,
Hampton, VA 23666-5904

Ph: (757) 827-2230
Ali Baalbaki, MD
4000 Coliseum Dr Ste 340,
Hampton, VA 23666-5904

Ph: (757) 827-2230

Reviews and Comments


Anesthesiology Doctors in Hampton, VA

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Dr. Ingrid Irene Vaughan, M.D.
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Sherwin Mark Angus, MD
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Phone: 757-723-3549    Fax: 757-723-2229
Matthew P Caldwell, MD
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Practice Location: 3000 Coliseum Dr, Department Of Anesthesiology, Hampton, VA 23666
Phone: 804-624-0151    

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).

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