Individual provider Active NPI

Diana S Balekian, MD MPH

  • Allergy & Immunology Physician
  • Salem, MA
National Provider Identifier
1891007001
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
257236 Issued in MA
Practice address
114R Highland Ave
Salem, MA 01970-2723
Phone
(978) 745-3711
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Affiliates of Danvers 6 clinicians
Asthma and Allergy Affiliates Inc 6 clinicians

Practice addresses (Care Compare)

114 R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-3711

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150619000562 MA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1658539226 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-243794MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Affiliates Inc Allergy CurrentSince Jul 18, 2016 Accepting new patients
Allergy Affiliates of Danvers Allergy CurrentSince Sep 1, 2024 Accepting new patients

Locations

140 Commonwealth Ave
Ste 103
Danvers, MA 01923
Phone (978) 777-0970

401 Andover St
Ste 102
North Andover, MA 01845
Phone (781) 315-5430

114R Highland Ave
Salem, MA 01970
Phone (978) 745-3711

114 Highland Ave
Rear
Salem, MA 01970
Phone (978) 745-3711

Interoperability endpoints

  • Direct secure messaging: balekian.diana.nsaa@direct.partners.masshiway.net

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 257236 MA
Pediatrics Physician 208000000X L-243794 MA
Allergy & Immunology Physician 207K00000X 257236 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

114R Highland Ave
Salem, MA 01970-2723

Mailing address

114R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-3711

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
110102252AMedicaidMA

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Balekian.Diana.NSAA@direct.partners.masshiway.net Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2021.

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1891007001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114R HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114R HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALEKIAN",
        "first_name": "DIANA",
        "middle_name": "S",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "257236",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "L-243794",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "257236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102252A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Balekian.Diana.NSAA@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "114R Highland Ave",
            "city": "Salem",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019702723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.