2026 NPPES data Pediatric Infectious Diseases Physician NPI 1942201900 MD
Verify on CMS →

Howard Balbi, MD

Pediatric Infectious Diseases Physician in Babylon, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,101 in Pediatric Infectious Diseases Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Industry payments
$819.49
36 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Howard Balbi, MD is a Pediatric Infectious Diseases Physician in Babylon, New York, listed in the federal CMS National Provider Identifier registry.

$819.49
industry payments (Sunshine Act)
#225
Pediatric Infectious Diseases Physician rank among New York specialties

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Howard Balbi, MD

Active federal NPI registry listing — verify license, disciplinary history, and board certification with official sources before relying on this profile.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1942201900), first enumerated 08/02/2005.

    Source: CMS NPPES

  • Not in federal data

    Medicare Part D participation

    No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $819.49 in reported industry payments (36 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Howard Balbi, MD's individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1942201900 · Pediatric Infectious Diseases Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-NONE · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1942201900
  • ENUM-LEGACY 2005
  • TAX-NARROW 1,101
  • RX-NONE No Part D
  • BOOK-THIN 92 in New York
  • PHOTO-ENUM Sumita Bhaduri-McInt… · 2005
Board-eligible specialty (heuristic, not verified)

Howard Balbi, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Howard Balbi, MD?

Quality data not reported

NPI registry status

Active

Issued 08/02/2005

NPI 1942201900

Primary specialty

Pediatric Infectious Diseases Physician

Niche

1,101 US NPIs in this specialty

Specialty distribution in New York

How Pediatric Infectious Diseases Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Pediatric Infectious Disease…0%
Largest specialties in New York (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Infectious Diseases Physician. Verify directly:

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

655 DEER PARK AVE
Babylon, NY 11702

Provider Details

NPI 1942201900
Specialty Pediatric Infectious Diseases Physician
Credentials MD
Gender Male
NPI Issued 08/02/2005

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Howard Balbi, MD. Source: openpaymentsdata.cms.gov.

Total received

$819

Largest payer

ACADIA Pharmaceuticals Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - New York NYSBPMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Howard Balbi, MD. To verify Howard Balbi, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Infectious Diseases Physician Overview

How Howard Balbi, MD fits within the Pediatric Infectious Diseases Physician landscape nationally.

1,101
Pediatric Infectious Diseases Physician Providers in US
50
States with Pediatric Infectious Diseases Physician
306
Avg Claims per Provider

Nationwide Pediatric Infectious Diseases Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Balbi, both outside New York so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Pediatric Infectious Diseases Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Balbi.

One of 92 Pediatric Infectious Diseases Physician providers enrolled in New York, 5 are shown here.

Compare Pediatric Infectious Diseases Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Howard Balbi, MD's specialty?
Howard Balbi, MD specializes in Pediatric Infectious Diseases Physician and practices in Babylon, New York. Credentials: MD.
Where is Howard Balbi, MD located?
Howard Balbi, MD is located at 655 DEER PARK AVE, Babylon, NY, 11702. Phone: (631) 321-2100.
What is Howard Balbi, MD's NPI number?
Howard Balbi, MD's National Provider Identifier (NPI) is 1942201900, issued on 08/02/2005.
How many Pediatric Infectious Diseases Physician providers are there in the US?
There are 1,101 Pediatric Infectious Diseases Physician providers across 50 states in the US. The average Pediatric Infectious Diseases Physician provider writes 306 Medicare Part D claims per year.
Does Howard Balbi, MD accept Medicare?
Howard Balbi, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Howard Balbi, MD's credentials?
Howard Balbi, MD's NPI is 1942201900 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.