Antonio R Baluga, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036054168 Issued in IL

Practice address

6905 E State Street
Rockford, IL 61108

Phone

(815) 397-4142

Fax

(815) 397-4144

NPI assigned

Aug 9, 2006

Last updated

Dec 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medchoice Medical Center LTD

  • Physical Therapist
  • Rockford, IL
  • NPI 1093716318
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1740290600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6107",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61125",
            "telephone_number": "815-397-4142",
            "fax_number": "815-397-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 E STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-397-4142",
            "fax_number": "815-397-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUGA",
        "first_name": "ANTONIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036054168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00149184",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth 'Betty' M Baker, LCSW, CADC
• Janet Baker, LCSW
• Shane Baker, MS, APRN, PMHNP
• Amit Singh Bakshi, M.D.
• Palanikumar Balasundaram, MD
• Herath Mudiyanselage Bandara, MD
• May Marne Jabines Bandilla, PHARMD
• Samantha Ann Baney, APRN
• Donald E Banicki, M.D.
• Brittany L Bankes, NP

• Pediatrics Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.