Organization Active NPI

Thomas C Balshi MD PA

  • Procedural Dermatology Physician
  • Delray Beach, FL
National Provider Identifier
1861628547
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME88514 Issued in FL
Legal business name
THOMAS C BALSHI MD PA
Practice address
4665 W Atlantic Ave
Delray Beach, FL 33445-3800
Phone
(561) 272-6000
Fax
(561) 272-2629
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Thomas Balshi, MDNPI 1063400646
Title
President
Phone
(561) 272-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X ME88514 FL Primary

Addresses

Primary practice location

4665 W Atlantic Ave
Delray Beach, FL 33445-3800

Mailing address

4665 W Atlantic Ave
Delray Beach, FL 33445-3800
Phone (561) 272-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090721000736 FL Part B Supplier - Clinic/Group Practice 0840342952 Receives reassigned benefits from 3 practitioners
Practice locations: Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2014966Thomas C Balshi MD PA4665 W Atlantic Ave, Delray Beach, FL 33445ComplianceNov 30, 2026

National Provider Directory

National Provider Directory

Locations

2605 W Atlantic Ave
Ste C103
Delray Beach, FL 33445
Phone (561) 272-6000

4665 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 272-6000

4665 W Atlantic Ave
Ste A
Delray Beach, FL 33445

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1861628547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453800",
            "telephone_number": "561-272-6000",
            "fax_number": "561-272-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453800",
            "telephone_number": "561-272-6000",
            "fax_number": "561-272-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C BALSHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "BALSHI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-272-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME88514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.