Dr Sima Habibi Bakalian, MD - Medicare Pediatrics in Kensington, MD

Dr Sima Habibi Bakalian, MD is a medicare enrolled "Pediatrics" physician in Kensington, Maryland. Her current practice location is 10810 Connecticut Avenue, Kensington, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 929-7211.

Dr Sima Habibi Bakalian is licensed to practice in Maryland (license number D0043387) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821164054.

Contact Information

Dr Sima Habibi Bakalian, MD
10810 Connecticut Avenue,
Kensington, MD 20895-2138
(301) 929-7211
(301) 929-7027

Map and Direction




Physician's Profile

Full NameDr Sima Habibi Bakalian
GenderFemale
SpecialityPediatrics
Location10810 Connecticut Avenue, Kensington, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821164054
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244368165
  • Enrollment ID: I20100513000091

Medical Identifiers

Medical identifiers for Dr Sima Habibi Bakalian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821164054NPI-NPPES
1821164054MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD19794 (District Of Columbia)Secondary
208000000XPediatrics D0043387 (Maryland)Primary

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 Habibi Bakalian allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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 Habibi Bakalian 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 Habibi Bakalian, MD
2101 Ejefferson St Ppqa Medicare Compilance Unit 6 W, Attn Theresa Brooks Kaiser Permanenta Midatlantic,
Rockville, MD 20852-4908

Ph: (301) 816-6660
Dr Sima Habibi Bakalian, MD
10810 Connecticut Avenue,
Kensington, MD 20895-2138

Ph: (301) 929-7211

Reviews and Comments


Pediatrics Doctors in Kensington, MD

Dr. Kozue Leone, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7114
Dr. William Harold Neches, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5229 Strathmore Ave, Kensington, MD 20895
Phone: 240-475-4077    Fax: 240-303-2512
Bhavna Bali, MD.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Ave, Kensington, MD 20895
Phone: 301-821-7500    Fax: 661-250-5290
Dr. Kawaljeet K Chawla, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7507    Fax: 301-929-7114
Elizabeth Anne Valois, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895
Phone: 301-929-3630    
Dr. Laura V Rusch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Ave, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7027
Dr. Carolyn L Avery, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7114

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.