Active NPI
John D Baluch, MD PHD
- Urology Physician
- Columbus, OH
National Provider Identifier
1669441812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35065452B
- Practice address
- 500 E Main St
Ste 220
Columbus, OH 43215 - Phone
- (614) 222-3369
- Fax
- (614) 224-1208
- NPI assigned
- Mar 17, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35065452B | OH | Primary |
Addresses
Primary practice location
500 E Main St
Ste 220
Columbus, OH 43215
Mailing address
500 E Main St
Ste 220
Columbus, OH 43215
Phone (614) 222-3369
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0931657 | Medicaid | OH | |
| 19109 | Other | COLUMBUS CCOP NUMBER | |
| 315649 | Other | AUA PERSONAL ID NUMBER | |
| 961814 | Other | AETNA HMO | |
| 04112840112 | Other | MEDICAL ED NUMBER | |
| 3115821773A11 | Other | ANTHEM | |
| 4330118 | Other | AETNA PPO | |
| 311582177001 | Other | CIGNA | |
| 16724 | Other | AM ASSOC OF CLINICAL UROL | |
| 190073 | Other | AM ASSOC OF CLINICAL UROL | |
| 22746 | Other | NCI INVESTIGATORS NUMBER | |
| 4221 | Other | NATIONWIDE HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35065452B | OH | MD | Urology Physician |
Organizations & group practices 1
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.
-
- Urology Physician
- Columbus, OH
- NPI 1346254976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669441812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E MAIN ST",
"address_2": "STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-222-3369",
"fax_number": "614-224-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MAIN ST",
"address_2": "STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-222-3369",
"fax_number": "614-224-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALUCH",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35065452B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0931657",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLUMBUS CCOP NUMBER",
"identifier": "19109",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUA PERSONAL ID NUMBER",
"identifier": "315649",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "961814",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ED NUMBER",
"identifier": "04112840112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "3115821773A11",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4330118",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "311582177001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AM ASSOC OF CLINICAL UROL",
"identifier": "16724",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AM ASSOC OF CLINICAL UROL",
"identifier": "190073",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCI INVESTIGATORS NUMBER",
"identifier": "22746",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE HEALTH PLANS",
"identifier": "4221",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.