Individual provider Active NPI

Cayli Nguyen Balch, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1255587010
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N3942 Issued in TX
Practice address
429 S Ballinger St
Fort Worth, TX 76104-1008
Phone
(817) 984-6210
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N3942 TX Primary

Addresses

Primary practice location

429 S Ballinger St
Fort Worth, TX 76104-1008

Mailing address

429 S Ballinger St
Fort Worth, TX 76104-1008
Phone (817) 984-6210

Other practice location 1

4319 Camp Bowie Blvd
Fort Worth, TX 76107
Phone (817) 984-6210

Other practice location 2

806 Old Cleburne Rd
Granbury, TX 76048-1422
Phone (817) 984-6210

Other identifiers 1

IdentifierTypeStateIssuer
331318-01MedicaidTX

Other names 1

  • Dr. Cayli Tam Nguyen Former name

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
I20100514000493 TX Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2466508643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of North Texas HSC, College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balch Interventional Pain and Wellness Center PLLCGroup PAC ID 6608013537, 4 clinicians

Practice addresses (Care Compare)

806 Old Cleburne Rd
Granbury, TX 76048-1422
Phone (817) 984-6210

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Merit-based Incentive Payment System (MIPS)

Final score
75.57 of 100Reported as group
Quality
30.11
Improvement activities
40
Cost
87.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balch Interventional Pain and Wellness Center PLLC Physical Medicine & Rehabilitation CurrentSince Feb 17, 2013 Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients

Locations

701 E Rendon Crowley Rd
Burleson, TX 76028
Phone (817) 293-9292

5612 Edwards Ranch Rd
Ste 200
Fort Worth, TX 76109
Phone (901) 409-5994

4319 Camp Bowie Blvd
Ste A
Fort Worth, TX 76107

4319 Camp Bowie Blvd
Fort Worth, TX 76107
Phone (817) 423-9054

6116 Oakbend Trl
Ste 106
Ft Worth, TX 76132
Phone (817) 377-3668

429 S Ballinger St
Ft Worth, TX 76104
Phone (682) 885-1480

806 Waters Edge Dr
Granbury, TX 76048
Phone (682) 936-2544

1200 Crawford Ave
Ste A
Granbury, TX 76048
Phone (817) 573-3447

150 River North Blvd
Stephenville, TX 76401
Phone (254) 965-9729

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDIDDD

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.

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1255587010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S BALLINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041008",
            "telephone_number": "817-984-6210",
            "fax_number": "817-984-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S BALLINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041008",
            "telephone_number": "817-984-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4319 Camp Bowie Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76107",
            "country_code": "US",
            "telephone_number": "817-984-6210",
            "fax_number": "817-984-6216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Old Cleburne Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481422",
            "country_code": "US",
            "telephone_number": "817-984-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALCH",
        "first_name": "CAYLI",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N3942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331318-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAYLI",
            "last_name": "NGUYEN",
            "middle_name": "TAM",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.