Ganesh R Balu, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

C1-0005467 Issued in DE

Practice address

240 Beiser Blvd
Suite 201
Dover, DE 19904-8208

Phone

(302) 734-7246

Fax

(302) 678-8890

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

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 2

Specialty

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDHGBA
• FHIR API: https://fhir4.healow.com/fhir/r4/GDHGBA/Endpoint/GDHGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Outpatient Procedure Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, DE
  • NPI 1063854628

  DE

  Medicare reassignment NPD Authorized official
• Regional Medical Associates, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dover, DE
  • NPI 1689772576

  DE, MD, Pain Medicine

  Medicare reassignment NPD Authorized official
• Professional Anesthesia Services, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dover, DE
  • NPI 1619020385
  NPD (past) Authorized official
• Regional Medical Associates

  • Chiropractor
  • Dover, DE
  • NPI 1467806711
  NPD (past) Authorized official

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1073594693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BEISER BLVD",
            "address_2": "SUITE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048208",
            "telephone_number": "302-734-7246",
            "fax_number": "302-678-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BEISER BLVD",
            "address_2": "SUITE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048208",
            "telephone_number": "302-734-7246",
            "fax_number": "302-678-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Mitch Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198043943",
            "country_code": "US",
            "telephone_number": "302-734-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33664 Bayview Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581933",
            "country_code": "US",
            "telephone_number": "302-734-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALU",
        "first_name": "GANESH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "DE",
            "license": "C1-0005467",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "DE",
            "license": "C1-0005467",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": "C1-0005467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000898401",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Baker, B.A., L.P.C.M.H.
• Shekeyia Baker, LPCMH
• Balance and Beyond Therapy LLC
• Pamela Ann Balentine, LMT
• Michael S Balliro, LCSW
• Alisha M Banas, AUD
• Alexandra Bandy
• Bilal Shahid Bangash, MD
• Alberta Lynn Banks, LCSW
• Martin Chukwugozie Banks

• All providers in Dover, DE
• Interventional Pain Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.