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Individual provider Active NPI

Christopher John Balamucki, M.D.

  • Radiation Oncology Physician
  • Gainesville, FL
National Provider Identifier
1548449234
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME 111942 Issued in FL
Practice address
North Florida Radiation Oncology LLC
6420 W Newberry Rd
Gainesville, FL 32605-4308
Phone
(352) 333-5840
Fax
(352) 333-5841
NPI assigned
Oct 30, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME 111942 FL Primary

Addresses

Primary practice location

North Florida Radiation Oncology LLC
6420 W Newberry Rd
Gainesville, FL 32605-4308

Mailing address

6420 W Newberry Rd
Gainesville, FL 32605-6621
Phone (352) 333-5840

Other identifiers 1

IdentifierTypeStateIssuer
006424500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000072 FL Practitioner - Radiation Oncology 8729240346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6420 W Newberry Rd E Wing
1 Florida Cancer Specialists P L
Gainesville, FL 32605-4308
Phone (352) 332-3900

795 SW State Rd
Suite 47
Lake City, FL 32025-0453
Phone (386) 758-7822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 111942FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Radiation Oncology Radiation Oncology CurrentSince Apr 1, 2012 Accepting new patients
North Florida Radiation Oncology LLC Radiation Oncology CurrentSince Apr 1, 2012 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Radiation Oncology CurrentSince Jan 14, 2019 Accepting new patients

Locations

6420 W Newberry Rd
Gainesville, FL 32605
Phone (352) 331-1550

6420 W Newberry Rd
Ste 100
Gainesville, FL 32605
Phone (352) 332-3900

795 SW State Road 47
Lake City, FL 32025
Phone (386) 401-7066

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1548449234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056621",
            "telephone_number": "352-333-5840",
            "fax_number": "352-333-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH FLORIDA RADIATION ONCOLOGY LLC",
            "address_2": "6420 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054308",
            "telephone_number": "352-333-5840",
            "fax_number": "352-333-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAMUCKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME 111942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006424500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.