Individual provider Active NPI

Jhablall Balmakund, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Boca Raton, FL
National Provider Identifier
1811965304
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME84647 Issued in FL
Practice address
9970 Central Park Blvd N Ste 207
Boca Raton, FL 33428-2236
Phone
(561) 482-1027
Fax
(561) 482-1028
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME84647 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N Ste 207
Boca Raton, FL 33428-2236

Mailing address

9960 NW 116TH Way Ste 13
Medley, FL 33178-1175

Other identifiers 1

IdentifierTypeStateIssuer
102768500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080904000543 AR Practitioner - Neurology 7113952789 Reassigns benefits to 1 organization
I20190716003080 FL Practitioner - Neurology 7113952789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6285MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Design Neuroscience Center PL CurrentSince Oct 18, 2025 Accepting new patients
Arkansas Childrens Hospital CurrentSince Nov 6, 2010 Accepting new patients
Arkansas Children'S Hospital CurrentSince Nov 6, 2010 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

14400 NW 77th Ct
Ste 306
Miami Lakes, FL 33016
Phone (305) 653-5155

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1811965304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-482-1027",
            "fax_number": "561-482-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMAKUND",
        "first_name": "JHABLALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME84647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102768500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.