John Michael Balintona, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Fargo, ND
NPI 1104813583 · NPPES record last updated Feb 18, 2020
Key facts
- NPI
- 1104813583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- PT16256 (ND)
- Practice address
- 3000 32ND Ave S
Fargo, ND 58103-6132 - Phone
- (701) 364-8000
- Fax
- (701) 364-8078
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Marys Regional Health Center
White Earth Indian Health Center
DHHS PHS Naihs Shiprock Hospital
Practice addresses (Care Compare)
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 844-2300
40520 County Hwy 34
Ogema, MN 56569-9612
Phone (218) 983-4300
6 Rd
Suite 7586
Bloomfield, NM 87413-4934
Phone (505) 368-6401
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone (218) 732-2800
Hospital & facility affiliations
- Essentia Health St Marys - Detroit Lakes
- Essentia Health Fosston
- Essentia Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080722000493 | TX | Practitioner - Obstetrics/Gynecology | 9537232764 | Reassigns benefits to 2 organizations |
| I20200305001785 | ND | Practitioner - Obstetrics/Gynecology | 9537232764 | Reassigns benefits to 1 organization |
| I20210208001460 | MN | Practitioner - Obstetrics/Gynecology | 9537232764 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Marys Regional Health Center | Current |
Accepting new patients | |
| Pine Point Health Station | Current | Accepting new patients | |
| St Mary'S Regional Health Center | Current |
Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current |
Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current |
Accepting new patients | |
| Naytahwaush Health Center | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients | |
| White Earth Indian Health Center | Current |
Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| First Care Medical Services | Current | Accepting new patients | |
| Innovis Health LLC | Family Medicine | Current |
Accepting new patients |
| St Marys Regional Health Center | Past | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300
40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300
705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40227 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | PT16256 | ND | Yes |
Addresses
Primary practice location
3000 32ND Ave S
Fargo, ND 58103-6132
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 707193 | Medicaid | AZ | |
| 03153827 | Medicaid | NM | |
| 91659558 | Medicaid | CO |
Other providers in Fargo, ND
- Haley Robin Baldock
- Jerry J Baldwin
- Deidre Bale
- Emma Bale
- Manisha Balhara
- Maria Louise Balintona
- Clara K Ballah
- Ciara Lenae Ballard
- Emily Ballou
- Nour Baltagi
All providers in Fargo, ND · Obstetrics & Gynecology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.