Active NPI
Mohamad Balti, M.D.
- Anesthesiology Physician
- Amherst, NY
National Provider Identifier
1437119427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 139264
- Practice address
- 3112 Sheridan Dr
Amherst, NY 14226-1904 - Phone
- (716) 831-9435
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 139264 | NY | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 139264 | NY |
Addresses
Primary practice location
3112 Sheridan Dr
Amherst, NY 14226-1904
Mailing address
PO Box 2461
Buffalo, NY 14240-2461
Phone (716) 834-1191
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011260201 | Other | UNIVERA | |
| 00581315 | Medicaid | NY | |
| 2005260 | Other | NY | INDEPENDENT HEALTH |
| 000565033001 | Other | NY | BLUE CROSS |
| 051820982 | Other | RAILROAD MEDICARE | |
| 00020545801 | Other | NY | UNIVERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1437119427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2461",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142402461",
"telephone_number": "716-834-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 SHERIDAN DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261904",
"telephone_number": "716-831-9435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTI",
"first_name": "MOHAMAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "139264",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "139264",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011260201",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00581315",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "2005260",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000565033001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "051820982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020545801",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.