Individual provider Active NPI

Rebecca R. Balaj, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dayton, OH
National Provider Identifier
1023001989
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35.063588 Issued in OH
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 208-2978
Fax
(937) 208-6137
NPI assigned
Aug 25, 2005
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.063588 OH Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

PO Box 20452
Columbus, OH 43220-0452
Phone (614) 457-8180

Other identifiers 1

IdentifierTypeStateIssuer
0307037MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000008 OH Practitioner - Pathology 7113811183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pathologists, IncGroup PAC ID 7214821289, 11 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-2978

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Challa Ajit, M.D. LLC CurrentSince Mar 12, 2019 Accepting new patients
Digestive Specialists Inc CurrentSince Jul 1, 2007 Accepting new patients
Valley Pathologists, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 1996 Accepting new patients
Gcga Physicians Inc. PastSince Mar 12, 2019 Accepting new patients
Gandhi Gi LLC Past Accepting new patients

Locations

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

160 Wyoming St
Dayton, OH 45409
Phone (937) 208-6137

4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

2355 Derr Rd
Springfield, OH 45503
Phone (937) 398-1966

2355 Derr Rd
Ste A
Springfield, OH 45503
Phone (937) 629-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5513/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 3

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1023001989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-457-8180",
            "fax_number": "614-583-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-2978",
            "fax_number": "937-208-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJ",
        "first_name": "REBECCA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.063588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307037",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.