Gagandeep Bal

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

901853 Issued in MS

Practice address

11 Professional Pkwy
Ridgeland, MS 39157-4114

Phone

(601) 856-2460

Fax

(601) 856-4687

NPI assigned

Sep 26, 2017

Last updated

Nov 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tina Bal Other name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indira IncGroup PAC ID 2668543349, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score

55.37 of 100Reported as group

Quality

82.32

Improvement activities

0

Cost

74.83

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Indira Inc

  dba Madison Ridgeland Medical Clinic

  • Internal Medicine Physician
  • Ridgeland, MS
  • NPI 1316128762

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Wesley Dee Granger, M.D., P.a.

  • Preferred Provider Organization
  • Ridgeland, MS
  • NPI 1285894378

  Single Specialty

  NPD

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

• Mississippi Homecare of Jackson II, LLC

  dba Mississippi HomeCare / Jackson

  • Home Health Agency
  • Jackson, MS
  • NPI 1730373275
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  dba AccentCare Home Health of Jackson

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1578072245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574114",
            "telephone_number": "601-856-2460",
            "fax_number": "601-856-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574114",
            "telephone_number": "601-856-2460",
            "fax_number": "601-856-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "GAGANDEEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "F0716953",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BAL",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Autumn Tamor
• Jonathan Louis Baggett, PTA
• Katherine E Baggett, LPC
• Jessica Bailey, SLP
• Amanda Baker
• Balance Sleep Centers of Mississippi, Jackson, LLC (Balance Sleep Centers)
• Ann Parker Baldwin
• Mary Virginia Baldwin
• Janyce Ball, PT
• Bruce Spencer Ballard, PT

• Nurse Practitioner in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.