Oksana Baltarowich, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD025913E Issued in PA

Practice address

111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824

Phone

(215) 955-6226

Fax

(215) 923-1562

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jeanes Radiology Associates LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1639110240
  Medicare reassignment NPD
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Diagnostic Radiology

  Medicare reassignment NPD
• Lebanon Diagnostic Imaging, LLC

  dba Lebanon Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Chambersburg, PA
  • NPI 1346246436
  Medicare reassignment NPD
• Rittenhouse Imaging Center, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Bryn Mawr, PA
  • NPI 1962458034
  Medicare reassignment NPD
• Imaging Professionals of Pennsylvania PC

  dba Callowhill Open MRI

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1952394363
  NPD (past)
• Insight Health Corp

  • Physiological Laboratory
  • Wilkes Barre, PA
  • NPI 1174647267
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1942233788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6226",
            "fax_number": "215-923-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTAROWICH",
        "first_name": "OKSANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD025913E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5443806",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000822057",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwanifemi Tolulase Balogun, MD
• Sheri Jill Balsam, PSY.D.
• Sheri Balsara
• Eli Balshan
• William Robert Balshem, PT, DPT
• Madison Baltazar, DO
• Ilana R Baltuch, MD
• Abigail M Baltz, PHARMD
• Alan Balu, MD
• Tara Balu

• Diagnostic Radiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.