Individual provider Active NPI

Heather Dawn Balon, AU.D.

  • Audiologist
  • Farmington Hills, MI
National Provider Identifier
1104162171
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000631 Issued in MI
Practice address
30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230
Phone
(248) 865-4444
Fax
(248) 865-6161
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000631 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230

Mailing address

30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140205001304 MI Practitioner - Qualified Audiologist 7810126216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Institute PLLCGroup PAC ID 5597735514, 35 clinicians

Practice addresses (Care Compare)

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4444

30055 Northwestern Hwy 101
Farmington Hills, MI 48334-3260

3555 W 13 Mile Rd
Suite 210
Royal Oak, MI 48073-6710
Phone (248) 865-4444

46325 W 12 Mile Rd
Suite 125
Novi, MI 48377-2460
Phone (248) 865-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000631MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear Institute PLLC CurrentSince Oct 28, 2012 Accepting new patients

Locations

30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334
Phone (248) 865-4166

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
  • Direct secure messaging: heather.balon.1@21058.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1104162171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY",
            "address_2": "STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4127",
            "fax_number": "248-865-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY",
            "address_2": "SUITE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343230",
            "telephone_number": "248-865-4444",
            "fax_number": "248-865-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALON",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.