Kirill Balatsky
Individual provider Active NPI Internal Medicine Physician · Honolulu, HI
NPI 1326778192 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1326778192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MDR-8264 (HI)
- Practice address
- 2828 Paa St
Honolulu, HI 96819-4430 - Phone
- (808) 302-0880
- NPI assigned
- Jun 14, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of New Mexico School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital
Practice addresses (Care Compare)
433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232
445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260610003854 | NM | Practitioner - Internal Medicine |
7911479944 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-8264 | HI | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MDR-8264 | HI | Yes |
Addresses
Primary practice location
2828 Paa St
Honolulu, HI 96819-4430
Mailing address
2828 Paa St
Honolulu, HI 96819-4430
Other providers in Honolulu, HI
- Balance Centers of the Pacific, Inc
- Danielle Anne Dilan Balance
- Janine Rose Chang Balantac
- Amelita Balanza
- Venkataraman Balaraman
- Kealohakuualohakuupo Balaz
- Angeli Villarin Balbuena
- Arlene Baldillo
- Christopher Baldon
- Jazlin Tess Mendoza Baldoz
All providers in Honolulu, HI · Internal Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.