Balu B Shetty, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD039618L Issued in PA

Practice address

8775 Norwin Ave
Suite 113
N Huntingdon, PA 15642-2718

Phone

(724) 864-0503

Fax

(724) 864-0535

NPI assigned

Sep 16, 2005

Last updated

Oct 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

83.75 of 100Reported as group

Quality

70.53

Promoting interoperability

100

Improvement activities

40

Cost

75.31

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bshetty@direct.excelahealth.org

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.

• Upmc Community Medicine, Inc

  dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment NPD
• Digestive Care Consultants PC

  • Gastroenterology Physician
  • North Huntingdon, PA
  • NPI 1912903287
  Authorized official Same address or phone
• Upmc Community Medcine Inc

  dba Hermitage Family Practice - UPMC

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  • Family Medicine Physician
  • Wilmerding, PA
  • NPI 1366885642
  NPD
• Excela Health Physician Practices, Inc

  dba Excela Health Behavioral Health

  • Psychiatry Physician
  • Greensburg, PA
  • NPI 1861438095
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1033104948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 RUGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015667",
            "telephone_number": "724-838-1534",
            "fax_number": "724-838-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE",
            "address_2": "SUITE 113",
            "city": "N HUNTINGDON",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "724-864-0503",
            "fax_number": "724-864-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "BALU",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD039618L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "469329",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001171343001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John NMN Pedrow, CHIROPRACTOR
• Robert L Phillips, PTA, LMT
• Susan Marie Plank, D.C.
• Bret Abraham Rosenblum, MD
• Robert Edward Sanders, MD
• David J. Stark, D.M.D.
• Mary Jane Steffey, M.S., CCC SLP
• Marlana Marie Stephan, R.PH., PHARM.D.
• Jerry A Voich, DMD

• Gastroenterology Physician in N Huntingdon, PA
• Providers in N Huntingdon, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.