Elnaz Balakhanlou, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Gaithersburg, MD
NPI 1003260407 · NPPES record last updated Jun 26, 2020
Key facts
- NPI
- 1003260407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 0101263166 (VA)
- Practice address
- 820 W Diamond Ave Ste 400
Gaithersburg, MD 20878-1469 - Phone
- (301) 315-3100
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- 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 Inc
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
- Adventist Home Health Services, Inc.
- Adventist Healthcare White Oak Medical Center
- Adventist Healthcare Shady Grove Medical Center
- Suburban Hospital
- Medstar Washington Hospital Center
- Holy Cross Hospital
- Adventist Healthcare Rehabilitation at Rockville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201124002364 | DC | Practitioner - Physical Medicine and Rehabilitation | 9830483684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263166 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Physician Services, Inc. | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Adventist Physician Services (Wah) | Past | Accepting new patients | |
| Adventist Rehabilitation Hospital of Maryland Inc | Past | Accepting new patients |
Locations
820 W Diamond Ave
Ste 400
Gaithersburg, MD 20878
Phone (301) 315-3140
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030
9909 Medical Center Dr
Rockville, MD 20850
Phone (240) 864-6000
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGIFAD/Endpoint/IGIFAD
- elnaz.balakhanlou@ahm.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101263166 | VA | Yes |
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
- Dr. Ellie Balakhanlou
Other providers in Gaithersburg, MD
- David Baek
- Heike Barbara Bailin
- Alexis D Baione
- Kenia Paola Baisden
- Akiiki Bakaswara
- Brittany Ball
- Joseph A Ball
- Lakeitha Lashae Ball
- Keyona Ballard
- Melissa Ballen
All providers in Gaithersburg, MD · Physical Medicine & Rehabilitation Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.