Active NPI
Miranda Swados Balkin, MD
- Family Medicine Physician
- Worthington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 254019
- Practice address
- 58 Old North Rd
Worthington, MA 01098-9753 - Phone
- (413) 238-5511
- Fax
- (413) 238-5358
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
Family Medicine, MA
-
- Federally Qualified Health Center (FQHC)
- Worthington, MA
- NPI 1740268051
MA
-
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Federally Qualified Health Center (FQHC)
- Amherst, MA
- NPI 1528573037
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northampton, MA
- NPI 1134196439
-
- Community Based Hospice Care Agency
- Northampton, MA
- NPI 1346217262
Hospice
Care Compare profile
Medicare Care Compare- 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 Inc
Practice addresses (Care Compare)
10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866
22 Atwood Dr
Northampton, MA 01060-4267
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441
Hospital & facility affiliations
- Vna & Hospice of Cooley Dickinson
- Vna & Hospice of Cooley Dickinson
- Cooley Dickinson Hospital Inc,the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
Medicare enrollment files- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161121001551 | MA | Practitioner - Family Practice | 7618104191 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilltown Community Health Centers, Inc. | Current | Accepting new patients | |
| Hilltown Community Health Centers, Inc. | Current | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Family Medicine | Current | Accepting new patients |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
15 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 584-4637
58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511
Interoperability endpoints
- balkin.miranda.cdh@direct.partners.masshiway.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 254019 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
58 Old North Rd
Worthington, MA 01098-9753
Mailing address
58 Old North Rd
Worthington, MA 01098-9753
Phone (413) 238-5511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2016.
{
"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": []
}
Other providers in Worthington, MA
Sources for this page
- 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.