Individual provider Active NPI

Jeffrey E Balazsy, MD, DPM

  • Orthopaedic Surgery Physician
  • Panama City, FL
National Provider Identifier
1376524603
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME92348 Issued in FL
Practice address
801 E 6TH St Ste 602
Panama City, FL 32401-3645
Phone
(850) 804-3850
Fax
(850) 804-7011
NPI assigned
Nov 14, 2005
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME92348 FL Primary

Addresses

Primary practice location

801 E 6TH St Ste 602
Panama City, FL 32401-3645

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other identifiers 4

IdentifierTypeStateIssuer
818053OtherLAMEDICARE
ME92348OtherFLFLORIDA MEDICAL LICENSE
91108OtherFLBCBS OF FLORIDA
4303052MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070418000264 FL Practitioner - Orthopedic SurgeryPractitioner - Podiatry 5597860668 Reassigns benefits to 3 organizations
I20090721000630 MI Practitioner - Orthopedic Surgery 5597860668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Podiatry
Education
Northeastern Ohio University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

801 E 6TH St
Panama City, FL 32401-3661
Phone (850) 770-3030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospine Institute LLC CurrentSince Oct 2, 2017 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Sacred Heart Health System Inc CurrentSince Sep 27, 2023 Accepting new patients
Ascension Sacred Heart Gulf CurrentSince Mar 11, 2024 Accepting new patients
Covenant Medical Center, Inc Orthopaedic Surgery CurrentSince Oct 20, 2020 Accepting new patients
Neurospine Institute LLC CurrentSince Oct 2, 2017 Accepting new patients
Ascension Sacred Heart Gulf CurrentSince Mar 11, 2024 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
McLaren Macomb Past Accepting new patients
Cardiac Surgery Institute PC Past Accepting new patients

Locations

280 SW Natura Ave
Deerfield Beach, FL 33441
Phone (561) 549-9090

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018

801 E 6th St
Ste 602
Panama City, FL 32401
Phone (850) 769-1766

151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090

8430 W Broward Blvd
Ste 200
Plantation, FL 33324
Phone (954) 214-0249

3871 E Highway 98
Ste 200
Port St Joe, FL 32456
Phone (850) 229-5661

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

900 Cooper Ave
Ste 3100
Saginaw, MI 48602
Phone (989) 583-5626

Interoperability endpoints

  • Direct secure messaging: jbalazsy95140@direct.covenanthealthcare.com
  • Direct secure messaging: jeffrey.balazsy.1@9582.direct.athenahealth.com
  • Direct secure messaging: jeffrey.balazsy.2@9582.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1376524603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST STE 602",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013645",
            "telephone_number": "850-804-3850",
            "fax_number": "850-804-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZSY",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD, DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME92348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "818053",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME92348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "91108",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4303052",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.