Individual provider Active NPI

Alan Balsam, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Deerfield Beach, FL
National Provider Identifier
1508922618
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME 22243 Issued in FL
Practice address
3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9536
Phone
(954) 426-2898
Fax
(954) 428-2769
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME 22243 FL Primary

Addresses

Primary practice location

3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9536

Mailing address

3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9536
Phone (954) 426-2898

Other identifiers 1

IdentifierTypeStateIssuer
254442300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080903000570 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 9537235239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9476
Phone (954) 426-2898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 22243FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Balsam M D P a Endocrinology, Diabetes & Metabolism CurrentSince Apr 9, 2001 Accepting new patients

Locations

3275 W Hillsboro Blvd
Ste 210
Deerfield Beach, FL 33442
Phone (954) 426-2898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1508922618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "954-426-2898",
            "fax_number": "954-428-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "954-426-2898",
            "fax_number": "954-428-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSAM",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME 22243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254442300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.