Active NPI
Colleen B Balkam, M.D.
- Orthopaedic Surgery Physician
- Leonardtown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D0094327
- Practice address
- 23000 Moakley St Ste 102
Leonardtown, MD 20650-2916 - Phone
- (301) 475-5555
- Fax
- (301) 475-5914
- NPI assigned
- May 11, 2017
- Last updated
- Apr 12, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101275178 | VA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | D0094327 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | D0094327 | MD | Primary |
Addresses
Primary practice location
23000 Moakley St Ste 102
Leonardtown, MD 20650-2916
Mailing address
23000 Moakley St Ste 102
Leonardtown, MD 20650-2916
Phone (301) 475-5555
Other names 1
- Colleen Marie Bauk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Georgetown University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23000 Moakley St
Suite 102
Leonardtown, MD 20650-2916
Phone (301) 475-5555
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 35 |
| Knee replacement | 45 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0094327 | MD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Anderson Clinic LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Anderson Clinic LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Associates of Central Maryland, PA | Orthopaedic Surgery | Past | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
23000 Moakley St
Ste 102
Leonardtown, MD 20650
Phone (301) 475-5555
4225 Altamont Pl
Ste 101
White Plains, MD 20695
Phone (301) 645-0013
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
2501 Parkers Ln
Ste 200
Alexandria, VA 22306
2445 Army Navy Dr
Arlington, VA 22206
2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206
Interoperability endpoints
- 26cbalkam@cfaortho.emadirect.md
- cbalkam1029784@direct.umm.edu
- cbalkam255150@directhisp.wakemed.org
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
dba Anderson Clinic Inc
- Orthopaedic Surgery Physician
- Arlington, VA
- NPI 1568488799
DC
-
dba Anderson Clinic Inc
- Orthopaedic Surgery Physician
- Oxon Hill, MD
- NPI 1205666435
-
- Orthopaedic Surgery Physician
- Chestertown, MD
- NPI 1811363849
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Leonardtown, MD
- NPI 1578902375
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1437685492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23000 MOAKLEY ST STE 102",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502916",
"telephone_number": "301-475-5555",
"fax_number": "301-475-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23000 MOAKLEY ST STE 102",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502916",
"telephone_number": "301-475-5555",
"fax_number": "301-475-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALKAM",
"first_name": "COLLEEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101275178",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MD",
"license": "D0094327",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D0094327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "BAUK",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.