Robert Jay Balotin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

043163 Issued in GA

Practice address

200 W Academy Street
Gainesville, GA 30501

Phone

(770) 282-8820

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Diagnostic Radiology

Education

New York Medical College, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
• Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gainesville Radiology Group, PC

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1922037605
  Medicare reassignment Care Compare group NPD
• Piedmont Professional Services, LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1104088905
  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Specialists PA

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1366424947
  NPD (past)
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD (past)
• Magnolia Surgery, PC

  • Surgery Physician
  • Kathleen, GA
  • NPI 1982959615
  NPD (past)
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  NPD (past)
• Radiology Associates of Houston County

  • Diagnostic Radiology Physician
  • Fort Valley, GA
  • NPI 1578571956
  NPD (past)
• Rockdale Diagnostics, LLC

  • Body Imaging Physician
  • Conyers, GA
  • NPI 1053497826
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Macon Northside Hospital, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation
• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1205924537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305032417",
            "telephone_number": "770-532-9936",
            "fax_number": "770-534-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY STREET",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-282-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Jesse Jewell Pkwy SE",
            "address_2": "Ste 500",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013871",
            "country_code": "US",
            "telephone_number": "770-532-9936",
            "fax_number": "770-534-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOTIN",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "043163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000737107E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00298084",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PROV #",
            "identifier": "581177261A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000737107N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Michele Balding, M.D.
• Tonia A Bales, CRNA
• Zachary Ryan Balest, M.D.
• Preston Ball, MD
• Andre Lamar Ballard, D.D.S.
• Theresa Bamidele, FNP-C
• Lalitha Bandi, M.D.
• Salankara Bandyopadhyay
• Laura J Banner, NP
• Renee Baptiste

• Diagnostic Radiology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.

Verify at the official NPI Registry.