Organization Active NPI

Balance Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Cypress, TX
National Provider Identifier
1245983618
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BALANCE PODIATRY PLLC
Practice address
14502 Cypress Mill Place Blvd # 300
Cypress, TX 77429-7299
Phone
(832) 899-4708
Fax
(832) 899-4709
NPI assigned
Jan 26, 2022
Last updated
Feb 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Authorized official

Name
Dr. Ali Shams-Hakimi, DPMNPI 1770839631
Title
Owner
Phone
(832) 899-4708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

14502 Cypress Mill Place Blvd # 300
Cypress, TX 77429-7299

Mailing address

14502 Cypress Mill Place Blvd # 300
Cypress, TX 77429-7299
Phone (832) 899-4708

Other identifiers 1

IdentifierTypeStateIssuer
1245983618MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208001961 TX Part B Supplier - Clinic/Group Practice 4082007414 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

14502 Cypress Mill Place Blvd
#300
Cypress, TX 77429
Phone (832) 899-4708

14502 Cypress Mill Place Blvd
Ste 300
Cypress, TX 77429
Phone (832) 899-4708

14502 Cypress Mill Place Blvd
Ste 300-B
Cypress, TX 77429
Phone (832) 899-4708

13652 Breton Ridge St
Ste H
Houston, TX 77070
Phone (832) 899-4708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738454400000",
    "number": "1245983618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 CYPRESS MILL PLACE BLVD # 300",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297299",
            "telephone_number": "832-899-4708",
            "fax_number": "832-899-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 CYPRESS MILL PLACE BLVD # 300",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297299",
            "telephone_number": "832-899-4708",
            "fax_number": "832-899-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "SHAMS-HAKIMI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-899-4708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245983618",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.