Individual provider Active NPI

Daljit S Bal, MD

  • Gastroenterology Physician
  • Peoria, AZ
National Provider Identifier
1144273533
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27357 Issued in AZ
Practice address
14155 N 83Rd Ave
Ste 122
Peoria, AZ 85381-5639
Phone
(623) 773-1161
Fax
(623) 773-1181
NPI assigned
May 18, 2006
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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 27357 AZ Primary

Addresses

Primary practice location

14155 N 83Rd Ave
Ste 122
Peoria, AZ 85381-5639

Mailing address

6501 W Dailey St
Glendale, AZ 85306-3770
Phone (623) 773-1161

Other identifiers 1

IdentifierTypeStateIssuer
465410MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050413001014 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 6204886252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Gastroenterology Clinic LLCGroup PAC ID 1951554641, 2 clinicians

Practice addresses (Care Compare)

14155 N 83Rd Ave
Peoria, AZ 85381-5640
Phone (623) 773-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.54 of 100Reported as group
Quality
85.08
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy174
Upper gastrointestinal (GI) endoscopy for acid reflux156

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services for Gi LLC Gastroenterology CurrentSince Apr 15, 2020 Accepting new patients
Arizona Gastroenterology Clinic LLC Gastroenterology CurrentSince Jan 1, 2013 Accepting new patients
Clinic for Digestive Diseases, PC Past Accepting new patients

Locations

14155 N 83rd Ave
Ste 122
Peoria, AZ 85381
Phone (623) 694-1445

2040 W Bethany Home Rd
Ste 104
Phoenix, AZ 85015
Phone (602) 242-1700

12301 W Bell Rd
Ste A105
Surprise, AZ 85378
Phone (480) 716-4173

12361 W Bola Dr
Ste 107
Surprise, AZ 85378
Phone (623) 266-1333

12361 W Bola Dr
Ste 108
Surprise, AZ 85378
Phone (623) 745-0828

Organizations & group practices 3

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1144273533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 W DAILEY ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063770",
            "telephone_number": "623-773-1161",
            "fax_number": "623-773-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE",
            "address_2": "STE 122",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815639",
            "telephone_number": "623-773-1161",
            "fax_number": "623-773-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "DALJIT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "27357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465410",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.