Roman Alexander Balsys, DO

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

11019 Issued in FL

Practice address

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone

(850) 431-4556

Fax

(850) 431-6315

NPI assigned

Jun 27, 2007

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• Jackson Hospital Hospital, Marianna, FL, CCN 100142
• Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314
• Centre Pointe Health and Rehab Center Nursing home, Tallahassee, FL, CCN 105563
• Marianna Nursing and Care Center Nursing home, Marianna, FL, CCN 105970

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbalsys21502@tallahasseememorial.direct-ci.com

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment Care Compare group NPD
• Physician Services Group of Florida, LLC

  • Family Medicine Physician
  • Gulf Breeze, FL
  • NPI 1235775396
  Medicare reassignment NPD
• Psgfl MSSP, LLC

  • Multi-Specialty Clinic/Center
  • Gulf Breeze, FL
  • NPI 1689557936
  Medicare reassignment NPD (past)
• Tallahassee Memorial Healthcare Inc

  dba TMH Physician Partners

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102

  Internal Medicine

  NPD
• Tallahassee Memorial Healthcare Inc

  dba CIM - Chipley

  • Cardiovascular Disease Physician
  • Chipley, FL
  • NPI 1679199236
  NPD

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

• Centre Pointe HRC LLC

  dba Centre Pointe Health and Rehab Center

  • Skilled Nursing Facility
  • Tallahassee, FL
  • NPI 1053480061

  Nursing home

  Care Compare affiliation
• Doctors Memorial Hospital Inc

  • Critical Access Hospital
  • Perry, FL
  • NPI 1427092006
  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725
  Care Compare affiliation
• Marianna Nursing and Care Center LLC

  dba Courtyard Healthcare Center

  • Skilled Nursing Facility
  • Marianna, FL
  • NPI 1821724329

  Nursing home

  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1457558132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-4556",
            "fax_number": "850-431-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-4556",
            "fax_number": "850-431-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSYS",
        "first_name": "ROMAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1086",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "11019",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "11019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1498B",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002289900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Alexander Ballard IV
• Susan Lynn Ballow, CLINICAL SOCIAL WORK
• Nicole Nabors Balmer, MD
• Saba Akbar Baloch, MD
• Moriam O Balogun, ARNP
• Efren L Baltazar, MD
• Tia Balthrop, RCSWI
• Stephen Dale Bamford, LCSW
• Florence P Bamgbose, ARNP
• Sharon Sanford Banasiewicz, PA-C

• Hospitalist Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.

Verify at the official NPI Registry.