NPIMap

Individual provider Active NPI

Sandra K Balmoria, MD

  • Family Medicine Physician
  • New Church, VA
National Provider Identifier
1023379153
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116024489 Issued in VA
Practice address
5219 Lankford Highway
New Church, VA 23415-1715
Phone
(757) 414-0400
NPI assigned
Jun 5, 2012
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101254483 VA
Family Medicine Physician 207Q00000X 0116024489 VA Primary

Addresses

Primary practice location

5219 Lankford Highway
New Church, VA 23415-1715

Mailing address

20280 Market Street
Onancock, VA 23417
Phone (757) 414-0400

Other practice location 1

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 584-2273

Other names 1

  • Sandra Burrer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150819006762 VA Practitioner - Family Practice 1658515200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

401 N 11TH St
Richmond, VA 23219-1901
Phone (804) 828-9000

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

9105 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 323-2255

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 828-7929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254483VAMDFamily Medicine Physician
0116024489VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC Family Medicine CurrentSince Jan 23, 2022 Accepting new patients
CMH Physician Services, LLC CurrentSince Jan 23, 2022 Accepting new patients
MCV Associated Physicians Family Medicine CurrentSince May 2, 2024 Accepting new patients
Acsh Urgent Care of Virigina LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

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 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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1023379153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET STREET",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "23417",
            "telephone_number": "757-414-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 LANKFORD HIGHWAY",
            "city": "NEW CHURCH",
            "state": "VA",
            "postal_code": "234151715",
            "telephone_number": "757-414-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-584-2273",
            "fax_number": "434-774-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALMORIA",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101254483",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116024489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BURRER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Church, VA

Sources for this page

Verify at the official NPI Registry.