Stephen James Balise, M.D.
Individual provider Active NPI Surgery Physician · Taos, NM
NPI 1396109468 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1396109468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD2024-1156 (NM)
- Practice address
- 1397 Weimer Rd
Taos, NM 87571-6253 - Phone
- (575) 758-8883
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Vermont College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Taos Professional Services,LLC
Practice addresses (Care Compare)
1399 Weimer Rd
Suite 600
Taos, NM 87571-6340
Phone (575) 751-8902
Hospital & facility affiliations
- Holy Cross Hospital a Div of Taos Health Systems
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
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 |
|---|---|---|---|---|
| I20241224000275 | NM | Practitioner - General Surgery | 4981999471 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Health Systems Inc Holy Cross Hospital | Current |
Accepting new patients | |
| Taos Professional Services,LLC | Surgery | Current |
Accepting new patients |
| Taos Professional Services, LLC | Current |
Accepting new patients | |
| Taos Health Systems Inc Holy Cross | Past | Accepting new patients |
Locations
1399 Weimer Rd
Ste 600
Taos, NM 87571
Phone (505) 751-0334
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
Interoperability endpoints
- sbalise787999@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | MD2024-1156 | NM | Yes |
Addresses
Primary practice location
1397 Weimer Rd
Taos, NM 87571-6253
Mailing address
711 Main St
Wilbraham, MA 01095-2631
Phone (413) 636-8292
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. 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.