Individual provider Active NPI

Mehdi H Baluch, MD

  • Gastroenterology Physician
  • Saginaw, MI
National Provider Identifier
1104831536
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301072702 Issued in MI
Practice address
900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182
Phone
(989) 583-7460
Fax
(989) 583-7432
NPI assigned
Jul 31, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301072702 MI Primary

Addresses

Primary practice location

900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182

Mailing address

900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182
Phone (989) 583-7460

Other identifiers 7

IdentifierTypeStateIssuer
01006013OtherMIHEALTHPLUS
1022523OtherMIMCLAREN HEALTH PLAN
17991OtherMIMCARE
700D410040OtherMIBCBSM
4950780MedicaidMI
1022523OtherMIMHP MHA
4944577MedicaidMI

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20061102000566 MI Practitioner - Gastroenterology 0648277749 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

601 John St
Suite 302
Kalamazoo, MI 49007-5357
Phone (269) 341-4890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux291

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Gastroenterology PC Gastroenterology CurrentSince May 1, 2022 Accepting new patients
W.a. Foote Memorial Hospital, Inc Gastroenterology CurrentSince Aug 8, 2016 Accepting new patients
Bronson Methodist Hospital CurrentSince Sep 13, 2019 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 8, 2016 Accepting new patients
Covenant Medical Center, Inc CurrentSince Mar 17, 2022 Accepting new patients
Troy Gastroenterology, PC Gastroenterology CurrentSince May 1, 2022 Accepting new patients
Troy Gastroenterology, PC Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

744 W Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7618

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

900 Cooper Ave
Ste 4300
Saginaw, MI 48602
Phone (989) 583-7460

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

Interoperability endpoints

  • Direct secure messaging: mbaluch129901@direct.covenanthealthcare.com

Organizations & group practices 9

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 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1104831536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-7460",
            "fax_number": "989-583-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-7460",
            "fax_number": "989-583-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUCH",
        "first_name": "MEHDI",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301072702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "01006013",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1022523",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "17991",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700D410040",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4950780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP MHA",
            "identifier": "1022523",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4944577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.