Joshua Baalwa, M.D.
NPI 1720423270 · Anatomic Pathology & Clinical Pathology Physician · Winchester, VA
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joshua Baalwa, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Winchester, VA (NPI 1720423270).
Provider details
- NPI number
- 1720423270
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 46771 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,799 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 1,356 | $35 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 1,146 | $26 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 395 | $32 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 125 | $76 |
| Microscopic Genetic Analysis of Tumor, Manual88360 | 97 | $39 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 95 | $11 |
Practice location
Mailing address
Additional practice locations (1)
- 619 19th St SBirmingham, AL 35249-1967Phone: (205) 934-4011
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2024-05-01
- Certified
- 2024-05-01
Frequently asked questions
- What is Joshua Baalwa's NPI number?
- Joshua Baalwa's National Provider Identifier (NPI) is 1720423270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joshua Baalwa's specialty?
- Joshua Baalwa is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Joshua Baalwa located?
- Joshua Baalwa's practice location on file with NPPES is 1840 Amherst St, Winchester, VA 22601-2808.
- What is Joshua Baalwa's phone number?
- The practice phone number listed in the NPPES registry for Joshua Baalwa is (540) 536-8000.
- Does Joshua Baalwa accept Medicare?
- Joshua Baalwa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joshua Baalwa's NPI active?
- Yes — Joshua Baalwa's NPI (1720423270) is active in the NPPES registry as of the last update on 2024-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.