Individual provider Active NPI

Fabiola Balmir, M.D.

  • Reproductive Endocrinology Physician
  • Minneapolis, MN
National Provider Identifier
1457675290
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
71297 Issued in MN
Practice address
138 N 2ND St
Minneapolis, MN 55401-4458
Phone
(612) 230-4090
NPI assigned
Mar 23, 2010
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 2712-320 WI
Reproductive Endocrinology Physician 207VE0102X MD61409232 WA
Reproductive Endocrinology Physician 207VE0102X MD451430 PA
Reproductive Endocrinology Physician 207VE0102X CDR.0002483 CO
Reproductive Endocrinology Physician 207VE0102X 35C.000495 OH
Reproductive Endocrinology Physician 207VE0102X 71297 MN Primary

Addresses

Primary practice location

138 N 2ND St
Minneapolis, MN 55401-4458

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

787 N Broadway
Milwaukee, WI 53202-3614
Phone (262) 518-7448

Other practice location 2

2501 NE 134th St Ste 100
Vancouver, WA 98686-3027
Phone (360) 535-7590

Other practice location 3

8845 Lyra Dr
Columbus, OH 43240
Phone (380) 222-2731

Other practice location 4

811 Stewart St
Seattle, WA 98101-1305
Phone (206) 736-5839

Other practice location 5

220 Josephine St
Denver, CO 80206-4750
Phone (720) 370-5671

Other practice location 6

1414 Walnut St
Philadelphia, PA 19102-3824
Phone (215) 770-6687

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

State licenses

LicenseStateTypeSpecialty
CDR.0002483COMDReproductive Endocrinology Physician
71297MNMDReproductive Endocrinology Physician
35C.000495OHMDReproductive Endocrinology Physician
MD61409232WAMDReproductive Endocrinology Physician
2712-320WIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Charles E Miller M D SC Reproductive Endocrinology Past Accepting new patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1457675290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554014458",
            "telephone_number": "612-230-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "787 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532023614",
            "country_code": "US",
            "telephone_number": "262-518-7448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 NE 134th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863027",
            "country_code": "US",
            "telephone_number": "360-535-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8845 Lyra Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43240",
            "country_code": "US",
            "telephone_number": "380-222-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011305",
            "country_code": "US",
            "telephone_number": "206-736-5839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Josephine St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064750",
            "country_code": "US",
            "telephone_number": "720-370-5671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023824",
            "country_code": "US",
            "telephone_number": "215-770-6687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALMIR",
        "first_name": "FABIOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WI",
            "license": "2712-320",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WA",
            "license": "MD61409232",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD451430",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CO",
            "license": "CDR.0002483",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35C.000495",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MN",
            "license": "71297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.