Individual provider Active NPI

Nikolay F Balbyshev

  • Homemaker
  • New Richmond, OH
National Provider Identifier
1811592017
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
1305193 Issued in OH
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

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1305193OtherOHEMPLOYEE/PROVIDER CONTRACT #

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1305193OHMDHomemaker

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.

Verify at the official NPI Registry.