NPIMap

Individual provider Active NPI

Charles Joseph Ballay II, M.D.

  • Otolaryngology Physician
  • Marrero, LA
National Provider Identifier
1043306392
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
205801 Issued in LA
Practice address
1111 Medical Center Blvd
Suite 707N
Marrero, LA 70072-3148
Phone
(504) 934-8550
Fax
(504) 934-8549
NPI assigned
Oct 5, 2006
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A94147 CA
Otolaryngology Physician 207Y00000X M6514 TX
Otolaryngology Physician 207Y00000X 205801 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite 707N
Marrero, LA 70072-3148

Mailing address

1111 Medical Center Blvd
Suite 707 N
Marrero, LA 70072-3148
Phone (504) 934-8550

Other identifiers 1

IdentifierTypeStateIssuer
2351753MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140315000269 LA Practitioner - Otolaryngology 9830282268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in Shreveport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WJH Physician ServicesGroup PAC ID 0941510986, 15 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 347-5511

1111 Medical Ctr Blvd
Suite S250
Marrero, LA 70072-3153
Phone (504) 349-6945

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.01 of 100Reported as group
Quality
80.35
Improvement activities
40
Cost
79.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94147CAMDSpecialist
205801LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Charles J. Ballay II M.D. Otolaryngology Current Accepting new patients
Hill Country Dizziness & Balance Center, PLLC Otolaryngology PastSince Jun 25, 2008 Accepting new patients

Locations

1111 Medical Center Blvd
Ste N707
Marrero, LA 70072
Phone (504) 934-8550

Networks

  • LA PPO C-SNP

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1043306392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 707 N",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723148",
            "telephone_number": "504-934-8550",
            "fax_number": "504-934-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 707N",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723148",
            "telephone_number": "504-934-8550",
            "fax_number": "504-934-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAY",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A94147",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M6514",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "205801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351753",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.