NPIMap

Individual provider Active NPI

Elnaz Balakhanlou, MD

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
National Provider Identifier
1003260407
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101263166 Issued in VA
Practice address
820 W Diamond Ave Ste 400
Gaithersburg, MD 20878-1469
Phone
(301) 315-3100
NPI assigned
Apr 21, 2016
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101263166 VA Primary

Addresses

Primary practice location

820 W Diamond Ave Ste 400
Gaithersburg, MD 20878-1469

Mailing address

820 W Diamond Ave Ste 400
Gaithersburg, MD 20878-1469

Other names 1

  • Dr. Ellie Balakhanlou Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124002364 DC Practitioner - Physical Medicine and Rehabilitation 9830483684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Virginia Commonwealth University, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

11886 Healing Way
Silver Spring, MD 20904-7917

11890 Healing Way
Suite 6S
Silver Spring, MD 20904-7917
Phone (240) 637-4000

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101263166VAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. Physical Medicine & Rehabilitation CurrentSince Aug 31, 2020 Accepting new patients
Adventist Rehabilitation Hospital of Maryland Inc Past Accepting new patients
Adventist Physician Services (Wah) Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

820 W Diamond Ave
Ste 400
Gaithersburg, MD 20878
Phone (301) 315-3140

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

9909 Medical Center Dr
Rockville, MD 20850
Phone (240) 864-6000

Interoperability endpoints

  • Direct secure messaging: elnaz.balakhanlou@ahm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIFAD/Endpoint/IGIFAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1003260407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE STE 400",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE STE 400",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781469",
            "telephone_number": "301-315-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKHANLOU",
        "first_name": "ELNAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101263166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "BALAKHANLOU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.