Individual provider Active NPI

Richard A Balter, MD

  • Internal Medicine Physician
  • Commack, NY
National Provider Identifier
1689766537
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
139759 Issued in NY
Practice address
500 Commack Rd Unit 160
Commack, NY 11725-5009
Phone
(631) 855-1200
Fax
(631) 630-6297
NPI assigned
Sep 29, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 139759 NY Primary

Addresses

Primary practice location

500 Commack Rd Unit 160
Commack, NY 11725-5009

Mailing address

500 Commack Rd Unit 160
Commack, NY 11725-5009
Phone (631) 855-1200

Other identifiers 1

IdentifierTypeStateIssuer
00699683MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000332 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9830298728 Reassigns benefits to 2 organizations
Practice locations: Setauket, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
New York University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd HospiceGroup PAC ID 1759281843, 8 clinicians

Practice addresses (Care Compare)

110 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3923
Phone (631) 828-7415

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139759NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical Center CurrentSince Mar 14, 2014 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 14, 2014 Accepting new patients
Good Shepherd Hospice CurrentSince Oct 31, 2015 Accepting new patients
Richard Allan Balter, MD Facp Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Port Jefferson Ekg Associates Internal Medicine Past Accepting new patients

Locations

15 Park Ave
Bay Shore, NY 11706
Phone (631) 581-4400

110 Bi County Blvd
Ste 114
Farmingdale, NY 11735
Phone (631) 465-6300

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1689766537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 160",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255009",
            "telephone_number": "631-855-1200",
            "fax_number": "631-630-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 160",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255009",
            "telephone_number": "631-855-1200",
            "fax_number": "631-630-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00699683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.