Individual provider Active NPI

Daniel Alexander Baluch, MD

  • Orthopaedic Surgery of the Spine Physician
  • Boynton Beach, FL
National Provider Identifier
1356661680
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME132405 Issued in FL
Practice address
2828 S Seacrest Blvd Ste 204
Boynton Beach, FL 33435-7944
Phone
(561) 734-5080
Fax
(561) 742-3583
NPI assigned
Jun 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2015-00360 NC
Orthopaedic Surgery of the Spine Physician 207XS0117X 036.141462 IL
Orthopaedic Surgery of the Spine Physician 207XS0117X ME132405 FL Primary
Orthopaedic Surgery Physician 207X00000X 125.057652 IL

Addresses

Primary practice location

2828 S Seacrest Blvd Ste 204
Boynton Beach, FL 33435-7944

Mailing address

2828 S Seacrest Blvd Ste 216
Boynton Beach, FL 33435-7944
Phone (561) 620-1653

Other practice location 1

1601 Clint Moore Rd Ste 125
Boca Raton, FL 33487-5714
Phone (561) 395-5733

Other identifiers 2

IdentifierTypeStateIssuer
NC2392MedicaidSC
1356661680MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171101003602 FL Practitioner - Orthopedic Surgery 8325369952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Orthopaedic Surgery Associates PAGroup PAC ID 8123911518, 19 clinicians

Practice addresses (Care Compare)

13550 S Jog Rd
Delray Beach, FL 33446-3808
Phone (561) 496-5144

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 395-5733

1700 W Woolbright Rd
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

2623 S Seacrest Blvd
Boynton Beach, FL 33435-7532
Phone (561) 620-1653

2623 S Seacrest Blvd
Suite 210
Boynton Beach, FL 33435-7944

2815 S Seacrest Blvd
Bethesda Memorial Hospital
Boynton Beach, FL 33435-7944
Phone (561) 737-7733

7015 Beracasa Way
Boca Raton, FL 33433-3453
Phone (561) 939-2033

9868 S State Rd
7 Suite 225
Boynton Beach, FL 33472-4474
Phone (561) 953-1700

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153
  • First at Home Inc Home health agency, Atlantis, FL, CCN 103188
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion106
Laminectomy or laminotomy (partial removal of spine bones)66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.057652ILMDOrthopaedic Surgery Physician
2015-00360NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates, PA Orthopaedic Surgery CurrentSince Oct 1, 2017 Accepting new patients
Orthopaedic Surgery Associates PA Orthopaedic Surgery CurrentSince Oct 1, 2017 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2623 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 734-5080

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

2828 S Seacrest Blvd
Ste 204
Boynton Beach, FL 33435
Phone (561) 395-2117

2828 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 395-2117

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 6

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1356661680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 216",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-620-1653",
            "fax_number": "561-742-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-734-5080",
            "fax_number": "561-742-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Clint Moore Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334875714",
            "country_code": "US",
            "telephone_number": "561-395-5733",
            "fax_number": "561-742-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALUCH",
        "first_name": "DANIEL",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2015-00360",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036.141462",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME132405",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125.057652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2392",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356661680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.