Dennis M Balfe, MD
Individual provider Active NPI Diagnostic Radiology Physician · Saint Louis, MO
NPI 1811919954 · NPPES record last updated Jan 24, 2018
Key facts
- NPI
- 1811919954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- R9661 (MO)
- Practice address
- 510 S Kingshighway Blvd
Saint Louis, MO 63110-1016 - Phone
- (314) 362-7200
- Fax
- (314) 747-4189
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R9661 | MO | Yes |
Addresses
Primary practice location
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Mailing address
660 S Euclid Ave
C B 8131
Saint Louis, MO 63110-1010
Phone (314) 362-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IL | |
| 209723402 | Medicaid | MO |
Other providers in Saint Louis, MO
- Michaela Baldwin
- Morgan Anne Baldwin
- Tiffany Baldwin
- Robert Donald Bale
- Adam Bales
- Almira Balic
- Michelle S Baliss
- Amanda Balk
- Kelly Elizabeth Ball
- Kelly Lynne Ball
All providers in Saint Louis, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.