Individual provider Active NPI

Marshall George Balding, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Aurora, IL
National Provider Identifier
1528023793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Practice address
356 N Lake St
Aurora, IL 60506-4186
Phone
(630) 896-5005
Fax
(630) 896-5087
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X IL Primary

Addresses

Primary practice location

356 N Lake St
Aurora, IL 60506-4186

Mailing address

356 N Lake St
Aurora, IL 60506-4186
Phone (630) 896-5005

Other identifiers 1

IdentifierTypeStateIssuer
0455090002OtherILDME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000868 IL Practitioner - Podiatry 5597772160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

1795 Grandstand PL
Elgin, IL 60123-4980
Phone (847) 639-5800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue336
Removal or shaving of skin growth193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-002865ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Apr 1, 2020 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Apr 1, 2020 Accepting new patients
Northern Illinois Foot & Ankle Specialists Foot & Ankle Surgery Past Accepting new patients

Locations

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

1795 Grandstand Pl
Elgin, IL 60123
Phone (847) 742-0500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528023793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064186",
            "telephone_number": "630-896-5005",
            "fax_number": "630-896-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064186",
            "telephone_number": "630-896-5005",
            "fax_number": "630-896-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDING",
        "first_name": "MARSHALL",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0455090002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.