Elsaid Balboul, MD
NPI 1467421339 · Internal Medicine Physician · Wayne, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elsaid Balboul, MD is a Internal Medicine Physician provider in Wayne, NJ (NPI 1467421339).
Provider details
- NPI number
- 1467421339
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA59362 (NJ)
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
20 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
3,472 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 704 | $99 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 692 | $80 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 327 | $83 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 310 | $98 |
| Insertion of Needle Into Vein (3 Years Or Older)36410 | 227 | $20 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 179 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 456 | 95 |
| Amlodipine Besylate | 265 | 59 |
| Pantoprazole Sodium | 260 | 55 |
| Metformin Hcl | 230 | 42 |
| Gabapentin | 230 | 39 |
| Apixabanbrand: Eliquis | 216 | 30 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$243 across 10 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
- 2006-03-14
- Last updated
- 2008-01-23
Frequently asked questions
- What is Elsaid Balboul's NPI number?
- Elsaid Balboul's National Provider Identifier (NPI) is 1467421339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elsaid Balboul's specialty?
- Elsaid Balboul is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elsaid Balboul located?
- Elsaid Balboul's practice location on file with NPPES is 508 Hamburg Tpke, Wayne, NJ 07470-8482.
- What is Elsaid Balboul's phone number?
- The practice phone number listed in the NPPES registry for Elsaid Balboul is (973) 942-1340.
- Does Elsaid Balboul accept Medicare?
- Elsaid Balboul is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elsaid Balboul's NPI active?
- Yes — Elsaid Balboul's NPI (1467421339) is active in the NPPES registry as of the last update on 2008-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.