Nicholas Mark Baloga, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1801 Issued in TN

Practice address

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920-1509

Phone

(865) 524-1869

Fax

(865) 544-6533

NPI assigned

Feb 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: nicholasbaloga@neurosurge.allscriptsdirect.net

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.

• Neurosurgical Associates, PC

  • Neurological Surgery Physician
  • Knoxville, TN
  • NPI 1639126188

  TN

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899

  Hospital

  Care Compare affiliation
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1366764276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201509",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201509",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 E Emerald Ave",
            "address_2": "Suite 511",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174539",
            "country_code": "US",
            "telephone_number": "865-647-3550",
            "fax_number": "865-647-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOGA",
        "first_name": "NICHOLAS",
        "middle_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518131",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikki Lynn Ballengee, PHARM.D
• Melissa Ballew-Brown
• Ashley Ballinger, LMT
• Gayanne Jean Ballinger, NP
• Adam Ballintoy, PMHNP-BC
• Leon F Baltrucki, MD
• Chelsea Bandy
• Thomas William Bandy, O.D.
• Jennifer L Banek, CRNA
• Paul David Banick, M.D.

• All providers in Knoxville, TN
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.