Rachel Elise Balloch, DPM, AACFAS

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000850 Issued in CT

Practice address

100 Simsbury Rd Ste 209
Avon, CT 06001-3793

Phone

(860) 674-0284

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Foot and Ankle Specialists, LLCGroup PAC ID 7810226099, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rballoch2387899@direct.trinity-health.org

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.

• Advanced Foot and Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Avon, CT
  • NPI 1083269005

  CT, Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812

  CT

  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD
• Bloomfield Foot Specialists,LLC

  • Foot & Ankle Surgery Podiatrist
  • Bloomfield, CT
  • NPI 1235281288

  Foot & Ankle Surgery

  NPD (past)
• Bloomfield Foot Specialists,LLC

  • Primary Podiatric Medicine Podiatrist
  • Windsor, CT
  • NPI 1396931648
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1386808202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SIMSBURY STE 209",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013793",
            "telephone_number": "860-674-0284",
            "fax_number": "860-674-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SIMSBURY RD STE 209",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013793",
            "telephone_number": "860-674-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Asylum Ave",
            "address_2": "Suite 4320",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051770",
            "country_code": "US",
            "telephone_number": "860-714-5237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLOCH",
        "first_name": "RACHEL",
        "middle_name": "ELISE",
        "credential": "DPM, AACFAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00297200",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MD00297200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radhika Naga Ayyagari, MD
• Marina Azimova
• Yvette D. Bailey, M.D.
• Henry Balavender, PT
• Makaila Baldie, APRN,PMHNP-BC
• Jennifer Elizabeth Baranowski, APRN, NP-C
• Kimberly A Barclay, APRN
• Matthew Baronowski, DPT
• Alma Rosa Barreto, APRN
• Meredith Barrows, MD

• Foot & Ankle Surgery Podiatrist in Avon, CT
• Providers in Avon, CT by specialty
• Foot & Ankle Surgery Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.