Individual provider Active NPI

Joseph Raymond Balzarett, M.D.

  • Psychiatry Physician
  • Vienna, VA
National Provider Identifier
1134145170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101023170 Issued in VA
Practice address
8206 Leesburg Pike
#207
Vienna, VA 22182-2614
Phone
(703) 893-8585
Fax
(703) 893-3879
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101023170 VA Primary

Addresses

Primary practice location

8206 Leesburg Pike
#207
Vienna, VA 22182-2614

Mailing address

8206 Leesburg Pike
#207
Vienna, VA 22182-2614
Phone (703) 893-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20170127000122 DC Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 1355623372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Georgetown University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Great Falls, VA 22066
Phone (703) 893-8585

National Provider Directory

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134145170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "#207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-893-8585",
            "fax_number": "703-893-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "#207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-893-8585",
            "fax_number": "703-893-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZARETT",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101023170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.