James H Balcom IV, MD
Individual provider Active NPI Vascular Surgery Physician · Danvers, MA
NPI 1689633273 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1689633273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 202600 (MA)
- Practice address
- 104 Endicott St
Suite 200
Danvers, MA 01923-3623 - Phone
- (978) 882-6868
- Fax
- (978) 882-6828
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- North Shore Medical Center -
- Massachusetts General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 16 |
| Leg revascularization (restoring blood flow) | 15 |
| Removal of tissue | 289 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050726000448 | MA | Practitioner - General Surgery |
3577590173 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Surgery | Current |
Accepting new patients |
| The General Hospital Corporation | Current |
Accepting new patients | |
| Essex Surgical Associates, PC | Surgery | Past |
Accepting new patients |
| North Shore Medical Center, Inc. | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
104 Endicott St
Ste 104
Danvers, MA 01923
Phone (978) 882-6700
104 Endicott St
Ste 200
Danvers, MA 01923
Phone (978) 882-6868
104 Endicott St
Ste 303
Danvers, MA 01923
Phone (978) 524-0050
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- balcom.james.nsmc@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 202600 | MA | |
| Surgical Critical Care Physician | 2086S0102X | 202600 | MA | |
| Pediatric Surgery Physician | 2086S0120X | 202600 | MA | |
| Trauma Surgery Physician | 2086S0127X | 202600 | MA | |
| Vascular Surgery Physician | 2086S0129X | 202600 | MA | Yes |
| Surgical Oncology Physician | 2086X0206X | 202600 | MA | |
| Colon & Rectal Surgery Physician | 208C00000X | 202600 | MA |
Addresses
Primary practice location
104 Endicott St
Suite 200
Danvers, MA 01923-3623
Mailing address
104 Endicott St
Suite 200
Danvers, MA 01923-3623
Phone (978) 882-6868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BAJ25866 | Other | MA | BLUE CROSS BLUE SHIELD |
| 2003180 | Medicaid | MA | |
| 760811 | Other | MA | TUFTS |
| 042530297 | Other | MA | COMMERICAL |
Other providers in Danvers, MA
- Barbara A Baker
- Jennifer Baker
- Marybeth Molly Baker
- Meagan Bakhit
- Balanced Within LLC
- Kimberly D Balcom
- Leann Baldwin
- Stephanie Band
- Christina Bandy
- Linda M Banh
All providers in Danvers, MA · Vascular Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.