NPIMap

Individual provider Active NPI

Emmet Hezekiah Balch III, MD

  • Diagnostic Radiology Physician
  • Hurst, TX
National Provider Identifier
1568464147
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F9163 Issued in TX
Practice address
1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone
(817) 336-4638
Fax
(817) 336-1331
NPI assigned
Aug 12, 2005
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X F9163 TX Primary

Addresses

Primary practice location

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Mailing address

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone (817) 336-4638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050512000124 TX Practitioner - Diagnostic Radiology 0446290100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

18951 Memorial N
Memorial Hermann Northeast Hospital
Humble, TX 77338-4217
Phone (281) 540-7700

18951 N Memorial Dr
Memorial Hermann N East Outp Img Dept
Humble, TX 77338-4217
Phone (281) 540-7700

2600 W Pleasant Run Rd
Crescent Regional Hospital
Lancaster, TX 75146-1114
Phone (469) 297-5321

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

801 W Interstate 20
Arlington, TX 76017-5851
Phone (713) 461-3573

9155 Grapevine Hwy
Suite 120
North Richland Hills, TX 76180-5671
Phone (713) 461-3573

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 13, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Jan 1, 1975 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 5

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1568464147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 209",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "817-336-4638",
            "fax_number": "817-336-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 209",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "817-336-4638",
            "fax_number": "817-336-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "EMMET",
        "middle_name": "HEZEKIAH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F9163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.