Individual provider Active NPI

Tamas Balogh, MD

  • Cardiovascular Disease Physician
  • Mount Airy, NC
National Provider Identifier
1245235167
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9600446 Issued in NC
Practice address
708 S South St Ste 200
Mount Airy, NC 27030
Phone
(336) 786-6146
NPI assigned
Jun 16, 2005
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9600446 NC Primary
Nuclear Cardiology Physician 207UN0901X 9600446 NC

Addresses

Primary practice location

708 S South St Ste 200
Mount Airy, NC 27030

Mailing address

PO Box 249
Yadkinville, NC 27055-0249
Phone (336) 679-4963

Other practice location 1

905 Rockford St
Mount Airy, NC 27030-5323
Phone (336) 719-2440

Other identifiers 11

IdentifierTypeStateIssuer
66909OtherNCMEDCOST
111397OtherNCCIGNA
16442OtherNCPARTNERS MEDICARE
2702499OtherNCAETNA HMO
137861OtherNCSOUTHCARE PPO
377877OtherNCMAMSI
1434017OtherNCUNITED HEALTHCARE
8912888MedicaidNC
110141504OtherNCMEDICARE RAILROAD
12888OtherNCBCBS OF NC
5255420OtherNCAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100112000760 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820187206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

708 S S St
Suite 200
Mount Airy, NC 27030-4589
Phone (336) 786-6146

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9600446NCMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Oct 1, 2017 Accepting new patients
Northern Hospital of Surry County Current Accepting new patients
Northern Hospital of Surry County Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
BRMG-PC Cardiovascular Disease PastSince Oct 1, 2013 Accepting new patients

Locations

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

708 S South St
Mount Airy, NC 27030
Phone (336) 719-0011

708 S South St
#300
Mount Airy, NC 27030
Phone (336) 783-8030

708 S South St
Ste 200
Mount Airy, NC 27030
Phone 3367864522 ext. 3352

Interoperability endpoints

  • Direct secure messaging: tbalogh@direct.nrh.nchie.net

Organizations & group practices 5

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 7

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1245235167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550249",
            "telephone_number": "336-679-4963",
            "fax_number": "336-679-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-6146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Rockford St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270305323",
            "country_code": "US",
            "telephone_number": "336-719-2440",
            "fax_number": "336-719-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOGH",
        "first_name": "TAMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "9600446",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NC",
            "license": "9600446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "66909",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "111397",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "16442",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2702499",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHCARE PPO",
            "identifier": "137861",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "377877",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1434017",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912888",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110141504",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "12888",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5255420",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.