Individual provider

Joshua Baalwa, M.D.

Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology Physician Medicare enrolled

Joshua Baalwa, M.D. is an Anatomic Pathology & Clinical Pathology Physician in Winchester, VA, registered under NPI 1720423270. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1840 AMHERST ST, Winchester, VA 22601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1840 AMHERST ST, Winchester, VA 22601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0101281492 VA Anatomic Pathology & Clinical Pathology… primary
46771 TX Anatomic Pathology & Clinical Pathology…
45503 AL Anatomic Pathology Physician

Licences are recorded in 3 states: VA, TX, AL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pathology
PAC ID
5698000529

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Texas I20190715000647 Practitioner - Pathology
Alabama I20230323002691 Practitioner - Pathology
Virginia I20240515004399 Practitioner - Pathology
West Virginia I20241017003031 Practitioner - Pathology

Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. There are 4 separate enrolment records across 4 states (TX, AL, VA, WV). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Alabama, Texas and Virginia. The practice address on file is in Winchester, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
45503
Specialty
Anatomic Pathology Physician
Verify with the AL board →
TX Texas
Licence
46771
Specialty
Anatomic Pathology & Clinical Pathology…
Verify with the TX board →
VA Virginia practice address
Licence
0101281492
Specialty
Anatomic Pathology & Clinical Pathology…
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Anatomic Pathology & Clinical Pathology covers

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0102X
Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology 0101281492 VA primary
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology 46771 TX
207ZP0101X Anatomic Pathology Physician Anatomic Pathology 45503 AL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1720423270 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 9, 2013
Last updatedMay 1, 2024
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1840 AMHERST ST
Winchester, VA 22601
(540) 536-8000
Mailing address 5301 VIRGINIA WAY STE 300
Brentwood, TN 37027
This record was updated on May 1, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1720423270 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 2 0 4 2 3 2 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 4 0 8 2 6 2 5

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1720423270?
NPI 1720423270 is the National Provider Identifier assigned to Joshua Baalwa, M.D. in Winchester, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anatomic Pathology & Clinical Pathology cover?
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and…
How do I contact Joshua Baalwa, M.D.?
The phone number on file with NPPES is (540) 536-8000, last updated May 1, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Joshua Baalwa, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1720423270 a valid number?
Yes. 1720423270 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.