Active NPI
Jefferson Irvin Balin, M.D.
- Diagnostic Radiology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101245354
- Practice address
- Lee St FL 1
Charlottesville, VA 22908-0001 - Phone
- (434) 982-0415
- Fax
- (434) 243-6999
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301086429 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 0101245354 | VA | Primary |
Addresses
Primary practice location
Lee St FL 1
Charlottesville, VA 22908-0001
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124143656 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rush Medical College of Rush University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Durham, NC 27705
Phone (800) 475-6112
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3250
2232 Wilborn Ave
South Boston, VA 24592-1662
Hospital & facility affiliations
- Sentara Halifax Regional Hospital
- CJW Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086429 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Halifax Regional Hospital, Inc. | Current | Accepting new patients | |
| Halifax Regional Hospital, Inc | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Diagnostic Radiology | Current | Accepting new patients |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| University of Virginia Physicians Group | Past | Accepting new patients |
Locations
946 N Main St
Chase City, VA 23924
Phone (434) 372-5141
115 College St
Clarksville, VA 23927
Phone (434) 374-5344
6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
-
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
- Diagnostic Radiology Physician
- South Boston, VA
- NPI 1487476628
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1033728803
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1124143656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007",
"telephone_number": "434-295-1000",
"fax_number": "434-972-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LEE ST FL 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-982-0415",
"fax_number": "434-243-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIN",
"first_name": "JEFFERSON",
"middle_name": "IRVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301086429",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101245354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124143656",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.