Thomas Nicholas Balaskas, M.D.
Individual provider Active NPI Specialist · Grand Rapids, MI
NPI 1477548840 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477548840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 4301062864 (MI)
- Practice address
- 1000 E Paris Ave SE
Suite 210
Grand Rapids, MI 49546-3680 - Phone
- (616) 285-3310
- Fax
- (616) 285-3266
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Chicago College of Medicine and Surgery, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 E Paris Ave SE
Suite 210
Grand Rapids, MI 49546-3680
Phone (616) 285-3310
1000 E Paris SE
Suite 210
Grand Rapids, MI 49546-3680
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110228000519 | MI | Practitioner - Obstetrics/Gynecology | 0648451443 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062864 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Women'S Health Services | Current |
Accepting new patients |
Locations
1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301062864 | MI | Yes |
Addresses
Primary practice location
1000 E Paris Ave SE
Suite 210
Grand Rapids, MI 49546-3680
Mailing address
1000 E Paris Ave SE
Suite 210
Grand Rapids, MI 49546-3680
Phone (616) 285-3310
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.