Ardalan Babaknia, MD
NPI 1366527491 · Gastroenterology Physician · Irvine, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ardalan Babaknia, MD is a Gastroenterology Physician provider in Irvine, CA (NPI 1366527491).
Provider details
- NPI number
- 1366527491
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A44193 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
670 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 200 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 190 | $98 |
| Removal of Polyps Or Growths of Large Bowel Using a Flexible Endoscope With Electrical Cautery45384 | 62 | $233 |
| Removal of Single External and Internal Hemorrhoid Group46255 | 60 | $567 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 58 | $85 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 235 | 93 |
| Famotidine | 150 | 64 |
| Tramadol Hcl | 37 | 12 |
| Linaclotidebrand: Linzess | 35 | 15 |
| Metoclopramide Hcl | 34 | 17 |
| Metformin Hcl | 33 | 15 |
| Sucralfate | 31 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$37 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2023-03-07
Frequently asked questions
- What is Ardalan Babaknia's NPI number?
- Ardalan Babaknia's National Provider Identifier (NPI) is 1366527491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ardalan Babaknia's specialty?
- Ardalan Babaknia is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ardalan Babaknia located?
- Ardalan Babaknia's practice location on file with NPPES is 15775 Laguna Canyon Rd, Irvine, CA 92618-3145.
- What is Ardalan Babaknia's phone number?
- The practice phone number listed in the NPPES registry for Ardalan Babaknia is (949) 753-8844.
- Does Ardalan Babaknia accept Medicare?
- Ardalan Babaknia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ardalan Babaknia's NPI active?
- Yes — Ardalan Babaknia's NPI (1366527491) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.