Individual provider Active NPI

George Bala' II, DC

  • Chiropractor
  • Katy, TX
National Provider Identifier
1538218185
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009910 Issued in IL
Practice address
2944 S Mason Rd Ste F
Katy, TX 77450
Phone
(281) 358-8585
NPI assigned
Jan 10, 2007
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009910 IL Primary

Addresses

Primary practice location

2944 S Mason Rd Ste F
Katy, TX 77450

Mailing address

2944 S Mason Rd Ste F
Katy, TX 77450-1764
Phone (281) 358-8585

Other practice location 1

625 W US Highway 50
O Fallon, IL 62269-1942
Phone (618) 624-3600

Other identifiers 4

IdentifierTypeStateIssuer
08232036OtherILBLUE CROSS BLUE SHIELD
168110OtherILGHP
2158789OtherILFIRST HEALTH
320063607OtherILHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210000488 TX Practitioner - Chiropractic 4688637283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2944 S Mason Rd
Suite F
Katy, TX 77450-1764
Phone (281) 358-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009910ILMDChiropractor
11920TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Katy Chiropractor CurrentSince Nov 15, 2015 Accepting new patients
Bala Chiropractic Chiropractor PastSince Aug 17, 2004 Accepting new patients

Locations

2944 S Mason Rd
Ste F
Katy, TX 77450
Phone (281) 358-8585

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1538218185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 S MASON RD STE F",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501764",
            "telephone_number": "281-358-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 S MASON RD STE F",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-358-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 W US Highway 50",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691942",
            "country_code": "US",
            "telephone_number": "618-624-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALA'",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232036",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "168110",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2158789",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "320063607",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.