Active NPI
Louis B Balizet, MD
- Hematology & Oncology Physician
- Pueblo, CO
National Provider Identifier
1831173574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 19357
- Practice address
- 3676 Parker Blvd
Suite 350
Pueblo, CO 81008-2212 - Phone
- (719) 296-6000
- Fax
- (719) 545-1146
- NPI assigned
- Dec 6, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 19357 | CO | Primary |
Addresses
Primary practice location
3676 Parker Blvd
Suite 350
Pueblo, CO 81008-2212
Mailing address
7951 Maplewood Ave
Suite 300
Greenwood Village, CO 80111
Phone (303) 930-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O1193572 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19357 | CO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Cancer Centers, LLP | Hematology & Oncology | Past | Accepting new patients |
| Khalid Chowdhury MD, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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- NPI 1538762760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1831173574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 MAPLEWOOD AVE",
"address_2": "SUITE 300",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "80111",
"telephone_number": "303-930-7800",
"fax_number": "303-930-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3676 PARKER BLVD",
"address_2": "SUITE 350",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082212",
"telephone_number": "719-296-6000",
"fax_number": "719-545-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIZET",
"first_name": "LOUIS",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "19357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O1193572",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.