Individual provider Active NPI

Colleen B Balkam, M.D.

  • Orthopaedic Surgery Physician
  • Leonardtown, MD
National Provider Identifier
1437685492
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0094327 Issued in MD
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220722000493 DC Practitioner - Orthopedic Surgery 8729356035 Reassigns benefits to 1 organization
I20230426003278 MD Practitioner - Orthopedic Surgery 8729356035 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Hip replacement35
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0094327MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince May 12, 2023 Accepting new patients
Anderson Clinic LLC Orthopaedic Surgery CurrentSince Jul 25, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Anderson Clinic LLC Orthopaedic Surgery CurrentSince Jul 25, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince May 12, 2023 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

  • Direct secure messaging: 26cbalkam@cfaortho.emadirect.md
  • Direct secure messaging: cbalkam1029784@direct.umm.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.