Active NPI
Justin D. Balla, M.D.
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P2954
- Practice address
- 4755 Aldine Mail Route Rd
Houston, TX 77039-5934 - Phone
- (281) 985-7600
- Fax
- (281) 985-7620
- NPI assigned
- Dec 3, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | FTL 43006 | TX | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | BP20034563 | TX | |
| Family Medicine Physician | 207Q00000X | P2954 | TX | Primary |
Addresses
Primary practice location
4755 Aldine Mail Route Rd
Houston, TX 77039-5934
Mailing address
6431 Fannin JJL 324
Houston, TX 77030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4755 Aldine Mail Route Rd
Houston, TX 77039-5934
Phone (281) 985-7600
4755 Aldine Mail Rte
Houston, TX 77039-5934
Phone (281) 985-7617
6410 Fannin St
Houston, TX 77030-3005
Hospital & facility affiliations
- Harris Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2954 | TX | MD | Family Medicine Physician |
| BP20034563 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
| FTL 43006 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Family Medicine | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
4755 Aldine Mail Rte
Houston, TX 77039
Phone (281) 985-7600
5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6431 Fannin St
#324
Houston, TX 77030
Organizations & group practices 2
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.
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1437487485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN JJL 324",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 ALDINE MAIL ROUTE RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770395934",
"telephone_number": "281-985-7600",
"fax_number": "281-985-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLA",
"first_name": "JUSTIN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-03",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "FTL 43006",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "BP20034563",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P2954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.