Active NPI
Michael C Baloga, DPM, PC
- Podiatrist
- West Pittston, PA
National Provider Identifier
1679666580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003071L
- Practice address
- 810 Wyoming Ave
West Pittston, PA 18643-2741 - Phone
- (570) 654-4371
- Fax
- (570) 654-0455
- NPI assigned
- Oct 2, 2006
- Last updated
- Jan 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003071L | PA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC003071L | PA |
Addresses
Primary practice location
810 Wyoming Ave
West Pittston, PA 18643-2741
Mailing address
810 Wyoming Ave
West Pittston, PA 18643-2741
Phone (570) 654-4371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028012370001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 S River St
FL 2
Plains, PA 18705-1234
Phone (570) 654-4371
810 Wyoming Ave
West Pittston, PA 18643-2741
Phone (570) 654-4371
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.32 of 100
- Quality
- 48.63
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 66 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 572 |
| Removal or shaving of skin growth | 228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC003071L | PA | MD | Foot & Ankle Surgery Podiatrist |
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.
-
- Podiatrist
- West Pittston, PA
- NPI 1972781250
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1679666580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 WYOMING AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432741",
"telephone_number": "570-654-4371",
"fax_number": "570-654-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 WYOMING AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432741",
"telephone_number": "570-654-4371",
"fax_number": "570-654-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOGA",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM, PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003071L",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC003071L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028012370001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Pittston, PA
- Albert D. Janerich, MD
- Angel's Touch Home Care, LLC (Aveanna Home Health)
- Brenda Antonacci, M.S., N.C.C., L.P.C.
- Lauren Argenio, D.O.
- Kayla Baloga, DPM
- Willis Curtis Barnes Jr., MD
- Carol I Bartholomew, MSCCCSLP
- Charles Morgan Baylor, M.S.,CCC-SLP
- Linda Roseann Benson, LPC
- Bilder Chiropractic Center, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.