Individual provider Active NPI

Elie R. Balesh, MD

  • Vascular & Interventional Radiology Physician
  • Brighton, MA
National Provider Identifier
1528353299
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
257182 Issued in MA
Practice address
736 Cambridge St
Brighton, MA 02135-2907
Phone
(617) 789-3000
NPI assigned
Jun 10, 2011
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME142501 FL
Vascular & Interventional Radiology Physician 2085R0204X 257182 MA Primary

Addresses

Primary practice location

736 Cambridge St
Brighton, MA 02135-2907

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Other practice location 1

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 331-5566

Other practice location 2

41 Mall Rd
Burlington, MA 01805-8005
Phone (781) 744-8000

Other practice location 3

3680 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-4068

Other practice location 4

2320 N Houston St Apt 1004
Dallas, TX 75219-7763
Phone (952) 595-1100

Other identifiers 1

IdentifierTypeStateIssuer
129244000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, FL, SD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160621000274 MA Practitioner - Interventional Radiology 0345403317 Reassigns benefits to 7 organizations
I20161014001290 TX Practitioner - Diagnostic Radiology 0345403317 Reassigns benefits to 2 organizations
I20191029001169 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0345403317 Reassigns benefits to 5 organizations
I20230405002910 SD Practitioner - Pathology 0345403317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Yale University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Florida Radiology Leasing LLCGroup PAC ID 1759327356, 39 clinicians
Beverly Radiology Associates IncGroup PAC ID 0345241154, 37 clinicians

Practice addresses (Care Compare)

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571

29 Mall Rd
Burlington, MA 01805-0001

298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000

41 Mall Rd
Burlington, MA 01805-0001

6311 S Pointe Blvd
Suite 600
Fort Myers, FL 33919-4901
Phone (239) 938-3500

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 927-6385

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Mar 6, 2023 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Mar 6, 2023 Accepting new patients
Lahey Clinic, Inc CurrentSince Jun 1, 2022 Accepting new patients
Blue Radiology Services LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology CurrentSince Aug 20, 2016 Accepting new patients
BMC Affiliated Physicians, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 5, 2023 Accepting new patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Beverly Radiology Associates, Inc. Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Sep 9, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Lee Health System Inc CurrentSince Jan 5, 2026 Accepting new patients
L & M Radiology, Inc. Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 5, 2023 Accepting new patients
Lee Health System Inc CurrentSince Jan 5, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

10 Little Brook Rd
West Wareham, MA 02576

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ebalesh177186@direct.bilh.masshiway.net
  • Direct secure messaging: ebalesh235750@brownhealth.medalliesdirect.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1528353299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-936-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-331-5566",
            "fax_number": "239-437-7499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018058005",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3680 Broadway",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339018005",
            "country_code": "US",
            "telephone_number": "239-936-4068",
            "fax_number": "239-936-3099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 N Houston St Apt 1004",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752197763",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALESH",
        "first_name": "ELIE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME142501",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "257182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129244000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.