Individual provider Active NPI

Rula S Balluz, MD

  • Pediatric Cardiology Physician
  • Roanoke, VA
National Provider Identifier
1922045889
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
0101287304 Issued in VA
Practice address
4348 Electric Rd
Roanoke, VA 24018-0720
Phone
(540) 769-0976
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD440633 PA
Pediatric Cardiology Physician 2080P0202X 0101287304 VA Primary
Pediatrics Physician 208000000X MD440633 PA
Adult Congenital Heart Disease Physician 207RA0002X MD440633 PA

Addresses

Primary practice location

4348 Electric Rd
Roanoke, VA 24018-0720

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone (215) 427-4820

Other identifiers 2

IdentifierTypeStateIssuer
5E7442OtherNYEMPIRE BC.BS
1255363578OtherPAGROUP NPI #/ST CHRIS PED ASSOCIATES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110711000152 PA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547163784 Reassigns benefits to 1 organization
I20251202000520 VA Practitioner - Pediatric Medicine 0547163784 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

2001 Crystal Spring Ave SW
Roanoke, VA 24014-2465

2001 Crystal Spring Swave
Roanoke, VA 24014-2465

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD440633PAMDPediatric Cardiology Physician
0101287304VAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Dec 1, 2025 Accepting new patients
Carilion Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Carilion Medical Center CurrentSince Dec 1, 2025 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Oct 29, 2022 Accepting new patients
STC Pediatrics LLC Pediatrics Current Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Oct 29, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince Dec 1, 2025 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
STC Pediatrics LLC Pediatrics Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

500 York Rd
Rydal, PA 19046
Phone (215) 481-2725

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

1107B Brookdale St
Martinsville, VA 24112
Phone (276) 634-4400

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2001 Crystal Spring Ave SW
Ste 203
Roanoke, VA 24014
Phone (540) 853-0755

4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

390 S Main St
Ste 314
Rocky Mount, VA 24151

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1922045889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180720",
            "telephone_number": "540-769-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Erie Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341011",
            "country_code": "US",
            "telephone_number": "215-427-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLUZ",
        "first_name": "RULA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD440633",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101287304",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD440633",
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "PA",
            "license": "MD440633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC.BS",
            "identifier": "5E7442",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #/ST CHRIS PED ASSOCIATES",
            "identifier": "1255363578",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.