Active NPI
Nikolay F Balbyshev
- Homemaker
- New Richmond, OH
National Provider Identifier
1811592017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 1305193
- Practice address
- 217 River Valley Blvd
New Richmond, OH 45157-8531 - Phone
- (513) 843-5494
- NPI assigned
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 1305193 | OH | Primary |
Addresses
Primary practice location
217 River Valley Blvd
New Richmond, OH 45157-8531
Mailing address
217 River Valley Blvd
New Richmond, OH 45157-8531
Phone (513) 843-5494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1305193 | Other | OH | EMPLOYEE/PROVIDER CONTRACT # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nikolaybalbyshev@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305193 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1811592017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 RIVER VALLEY BLVD",
"city": "NEW RICHMOND",
"state": "OH",
"postal_code": "451578531",
"telephone_number": "513-843-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 RIVER VALLEY BLVD",
"city": "NEW RICHMOND",
"state": "OH",
"postal_code": "451578531",
"telephone_number": "513-843-5494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBYSHEV",
"first_name": "NIKOLAY",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "1305193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE/PROVIDER CONTRACT #",
"identifier": "1305193",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nikolaybalbyshev@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "217 River Valley Blvd",
"city": "New Richmond",
"state": "OH",
"country_code": "US",
"postal_code": "451578531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Richmond, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.