Individual provider Active NPI

Jefferson Irvin Balin, M.D.

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1124143656
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101245354 Issued in VA
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

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1124143656MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20090709000237 VA Practitioner - Diagnostic Radiology 0244382091 Reassigns benefits to 2 organizations
I20251205003891 NC Practitioner - Diagnostic Radiology 0244382091 Reassigns benefits to 1 organization

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
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians
Dominion Health Medical AssocGroup PAC ID 1254311558, 35 clinicians

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 Hospital, South Boston, VA, CCN 490013
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086429MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Halifax Regional Hospital, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Halifax Regional Hospital, Inc CurrentSince Dec 6, 2024 Accepting new patients
Dominion Health Medical Assoc Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Dominion Health Medical Assoc CurrentSince Sep 15, 2024 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 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.

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": "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

Verify at the official NPI Registry.