Individual provider Active NPI

Anthony M Balistreri, M.D.

  • Gastroenterology Physician
  • Decatur, GA
National Provider Identifier
1851334692
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
52424 Issued in GA
Practice address
2675 N Decatur Rd
Suite 506
Decatur, GA 30033-6131
Phone
(404) 299-1679
Fax
(404) 508-7694
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 52424 GA Primary

Addresses

Primary practice location

2675 N Decatur Rd
Suite 506
Decatur, GA 30033-6131

Mailing address

2675 N Decatur Rd
Suite 506
Decatur, GA 30033-6131
Phone (404) 299-1679

Other identifiers 1

IdentifierTypeStateIssuer
52424OtherGASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000578 GA Practitioner - Gastroenterology 4880879931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

2675 N Decatur Rd
Suite 506
Decatur, GA 30033-6134
Phone (404) 299-1679

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Gastroenterology Associates III, LLC Current Accepting new patients
Aga, LLC Gastroenterology CurrentSince Feb 1, 2022 Accepting new patients
Dekalb Gastroenterology Associates Gastroenterology CurrentSince Jul 21, 2003 Accepting new patients
Aga Professional Services, LLC Gastroenterology CurrentSince May 24, 2024 Accepting new patients

Locations

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

5900 Hillandale Dr
Ste 335
Lithonia, GA 30058
Phone (404) 299-1679

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: anthony.balistreri@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1851334692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 506",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-1679",
            "fax_number": "404-508-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 506",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-1679",
            "fax_number": "404-508-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISTRERI",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "52424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "52424",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.