Dennis Balgowan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MA05481600 Issued in NJ

Practice address

3674 Route 27
Princeton Radiology Associates, P.a.., Department B
Kendall Park, NJ 08824

Phone

(732) 821-5563

Fax

(732) 821-6675

NPI assigned

Jun 23, 2005

Last updated

Sep 14, 2016By 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

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

89.93 of 100Reported as group

Quality

95.96

Improvement activities

40

Cost

73.85

Merit-based Incentive Payment System (MIPS)

Final score

88.17 of 100Reported as group

Quality

93.45

Improvement activities

40

Cost

72.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Princeton Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Jamesburg, NJ
  • NPI 1063527232
  Medicare reassignment NPD
• Hunterdon Radiological Associates, P.a.

  • Mammography Clinic/Center
  • Flemington, NJ
  • NPI 1003271123
  NPD (past)
• Larchmont Imaging Associates

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
  • NPI 1710932603
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1790781813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "address_2": "PRINCETON RADIOLOGY ASSOCIATES, P.A.., DEPARTMENT B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060956",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 ROUTE 27",
            "address_2": "PRINCETON RADIOLOGY ASSOCIATES, P.A.., DEPARTMENT B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-821-5563",
            "fax_number": "732-821-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALGOWAN",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA05481600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Balanced Health LLC
• Balancing Life Counseling Center
• Masha Belova, LCSW
• Robert B Berger, MD
• Bidabadi Pediatrics, LLC
• Bobak Bidabadi, M.D.
• Marideanne Blomgren, LPC

• Diagnostic Radiology Physician in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.

Verify at the official NPI Registry.