Radhika Babaria, MD
NPI 1811421613 · Gastroenterology Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radhika Babaria, MD is a Gastroenterology Physician provider in Phoenix, AZ (NPI 1811421613).
Provider details
- NPI number
- 1811421613
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 59344 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 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
281 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 48 | $106 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $88 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 37 | $161 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 34 | $103 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 34 | $239 |
| 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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 90 | 42 |
| Famotidine | 70 | 27 |
| Pantoprazole Sodium | 35 | 21 |
| Ondansetronbrand: Ondansetron Odt | 17 | 13 |
| Metronidazole | 13 | 11 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 13 | 13 |
| Ursodiol | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$214 across 12 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
- 2017-04-18
- Last updated
- 2024-06-15
- Certified
- 2024-06-15
Frequently asked questions
- What is Radhika Babaria's NPI number?
- Radhika Babaria's National Provider Identifier (NPI) is 1811421613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Radhika Babaria's specialty?
- Radhika Babaria is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Radhika Babaria located?
- Radhika Babaria's practice location on file with NPPES is 2222 E Highland Ave Ste 203, Phoenix, AZ 85016-4876.
- What is Radhika Babaria's phone number?
- The practice phone number listed in the NPPES registry for Radhika Babaria is (602) 254-5321.
- Does Radhika Babaria accept Medicare?
- Radhika Babaria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Radhika Babaria's NPI active?
- Yes — Radhika Babaria's NPI (1811421613) is active in the NPPES registry as of the last update on 2024-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.