Individual provider Active NPI

Constantine A Balouris, MD

  • Ophthalmology Physician
  • Butler, PA
National Provider Identifier
1851478531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
BB4299447 Issued in PA
Practice address
102 Technology Dr
Suite 120
Butler, PA 16001-1782
Phone
(724) 482-0090
Fax
(724) 482-0093
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X BB4299447 PA Primary

Addresses

Primary practice location

102 Technology Dr
Suite 120
Butler, PA 16001-1782

Mailing address

102 Technology Dr
Suite 120
Butler, PA 16001-1782
Phone (724) 482-0090

Other identifiers 3

IdentifierTypeStateIssuer
PO38282-A003OtherPACHAMPUS
0016271000005MedicaidPA
1186970001OtherPADME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050907000105 PA Practitioner - Ophthalmology 8729010160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balouris Eye Cener, PCGroup PAC ID 0648202085, 2 clinicians

Practice addresses (Care Compare)

102 Technology Dr
Suite 120
Butler, PA 16001-1743
Phone (724) 482-0090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
97.78
Improvement activities
40
Cost
78.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balouris Eye Cener, PC Ophthalmology CurrentSince Sep 1, 1997 Accepting new patients
Butler Ambulatory Surgery Center L L C Past Accepting new patients
Everett & Hurite Ophthalmic Association Ophthalmology PastSince Mar 22, 1999 Accepting new patients

Locations

102 Technology Dr
Ste 120
Butler, PA 16001
Phone (724) 287-6753

389 New Castle Rd
#A
Butler, PA 16001
Phone (724) 287-6753

Interoperability endpoints

  • Direct secure messaging: balocona@balouriseye.ecldirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/medflow_balouris_eye_center

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851478531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR",
            "address_2": "SUITE 120",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011782",
            "telephone_number": "724-482-0090",
            "fax_number": "724-482-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR",
            "address_2": "SUITE 120",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011782",
            "telephone_number": "724-482-0090",
            "fax_number": "724-482-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOURIS",
        "first_name": "CONSTANTINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "BB4299447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "PO38282-A003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016271000005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1186970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.