Miranda Swados Balkin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

254019 Issued in MA

Practice address

58 Old North Rd
Worthington, MA 01098-9753

Phone

(413) 238-5511

Fax

(413) 238-5358

NPI assigned

Jun 23, 2010

Last updated

Aug 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Family Practice

Education

Albert Einstein College of Medicine of Yeshiva University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mass General Brigham Medical Group Western Massachusetts IncGroup PAC ID 2567359839, 291 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna & Hospice of Cooley Dickinson Home health agency, Northampton, MA, CCN 227021
• Vna & Hospice of Cooley Dickinson Hospice, Northampton, MA, CCN 221506
• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: balkin.miranda.cdh@direct.partners.masshiway.net

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.

• Mass General Brigham Medical Group Western Massachusetts Inc

  • Family Medicine Physician
  • Northampton, MA
  • NPI 1295787919
  Medicare reassignment Care Compare group NPD
• Hilltown Community Health Centers, Inc.

  dba Worthington Health Center

  • Federally Qualified Health Center (FQHC)
  • Worthington, MA
  • NPI 1740268051
  Medicare reassignment NPD
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  NPD
• Hilltown Community Health Centers, Inc.

  dba John P. Musante Health Center

  • Federally Qualified Health Center (FQHC)
  • Amherst, MA
  • NPI 1528573037
  NPD
• Mass General Brigham Medical Group Western Massachusetts Inc

  dba Cooley Dickinson Medical Group

  • Psychiatry Physician
  • Northampton, MA
  • NPI 1942605373
  NPD (past)

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

• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation
• Vna & Hospice of Cooley Dickinson Inc

  • Home Health Agency
  • Northampton, MA
  • NPI 1134196439
  Care Compare affiliation
• Vna & Hospice of Cooley Dickinson Inc

  • Community Based Hospice Care Agency
  • Northampton, MA
  • NPI 1346217262
  Care Compare affiliation

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1467763581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989753",
            "telephone_number": "413-238-5511",
            "fax_number": "413-238-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989753",
            "telephone_number": "413-238-5511",
            "fax_number": "413-238-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKIN",
        "first_name": "MIRANDA",
        "middle_name": "SWADOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "254019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jason Adams, DDS
• Emily K Bowden, D.M.D
• George Henry Bresnick, M.D.
• Mary Elizabeth Chmura, MD
• Elizabeth A. Coates, MD
• Taylor Demur

• Family Medicine Physician in Worthington, MA
• Providers in Worthington, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.