Active NPI
Philip J Balikian, M.D.
- Orthopaedic Surgery Physician
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35679
- Practice address
- 15611 Pomerado Rd
Poway, CA 92064-2437 - Phone
- (858) 613-8900
- NPI assigned
- May 31, 2006
- Last updated
- Mar 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35679 | KY | Primary |
Addresses
Primary practice location
15611 Pomerado Rd
Poway, CA 92064-2437
Mailing address
PO Box 28199
San Diego, CA 92198-0199
Phone (858) 613-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64016215 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Massachusetts Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
15611 Pomerado Rd
Suite 525
Poway, CA 92064-2439
Phone (858) 485-0050
1955 Citracado Pkwy
Suite 302
Escondido, CA 92029-4113
Phone (760) 233-1896
2125 Citracado Pkwy
Escondido, CA 92029-4159
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.24 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 84.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35679 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Charles P Catron PSC | Orthopaedic Surgery | Past | Accepting new patients |
| Palomar Health | Past | Accepting new patients |
Locations
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- philip.balikian.p1@direct.arch.nextgenshare.com
Organizations & group practices 3
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.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
Orthopaedic Surgery
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1104937226
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Active Health Services
- Home Health Agency
- San Diego, CA
- NPI 1598174104
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1407803687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28199",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921980199",
"telephone_number": "858-613-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15611 POMERADO RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920642437",
"telephone_number": "858-613-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIKIAN",
"first_name": "PHILIP",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "35679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64016215",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.