Individual provider Active NPI

Kayla Balaj, MD

  • Psychiatry Physician
  • Baytown, TX
National Provider Identifier
1154843282
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T2822 Issued in TX
Practice address
4301 Garth Rd Ste 302
Baytown, TX 77521-3158
Phone
(281) 420-8400
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 T2822 TX Primary

Addresses

Primary practice location

4301 Garth Rd Ste 302
Baytown, TX 77521-3158

Mailing address

4301 Garth Rd Ste 302
Baytown, TX 77521-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220727000886 TX Practitioner - Psychiatry 3375813009 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2822TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jul 11, 2022 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jul 11, 2022 Accepting new patients

Locations

3509 Garth Rd
Baytown, TX 77521
Phone (832) 548-5215

4301 Garth Rd
Ste 302
Baytown, TX 77521
Phone (281) 420-8400

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 2

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1154843282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD STE 302",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD STE 302",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213158",
            "telephone_number": "281-420-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJ",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T2822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.