NPIMap

Individual provider Active NPI

John A Balacko, MD

  • Interventional Cardiology Physician
  • Natrona Heights, PA
National Provider Identifier
1942269311
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD036270E Issued in PA
Practice address
1624 Pacific Ave Ste B
Natrona Heights, PA 15065-2145
Phone
(724) 226-3345
Fax
(724) 226-2415
NPI assigned
Mar 22, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD036R70E PA
Interventional Cardiology Physician 207RI0011X MD036270E PA Primary

Addresses

Primary practice location

1624 Pacific Ave Ste B
Natrona Heights, PA 15065-2145

Mailing address

1624 Pacific Ave Ste B
Natrona Heights, PA 15065-2145
Phone (724) 226-3345

Other identifiers 4

IdentifierTypeStateIssuer
2745579MedicaidOH
0014154670007MedicaidPA
3810008241MedicaidWV
0014154670004MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbalacko10581@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001425 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3870573751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1624 Pacific Ave
Suite B
Natrona Heights, PA 15065-2145
Phone (412) 578-1519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036R70EPAMDCardiovascular Disease Physician
MD036270EPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Nov 1, 2010 Accepting new patients
Allegheny Clinic Cardiovascular Disease CurrentSince Nov 1, 2010 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
West Penn Allegheny Health System, Inc. Cardiovascular Disease Past Accepting new patients

Locations

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

1624 Pacific Ave
Ste B
Natrona Hts, PA 15065
Phone (412) 359-6444

2781 Leechburg Rd
New Kensington, PA 15068
Phone (724) 226-3345

1386 Old Freeport Rd
Ste 1AR
Pittsburgh, PA 15238
Phone (412) 235-5881

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

4800 Friendship Ave
#4600N
Pittsburgh, PA 15224
Phone (412) 578-5442

Interoperability endpoints

  • Direct secure messaging: jbalacko10581@direct.ahn.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allegheny Valley HospitalNatrona Heights, PA, CCN 390032 Hospital Corporate Director Jan 1, 2025
Alle-Kiski Medical CenterNatrona Heights, PA, CCN 39S032 Hospital Corporate Director Jan 1, 2025
Allegheny Valley HospitalNatrona Heights, PA, CCN 39T032 Hospital Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 12

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1942269311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 PACIFIC AVE STE B",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652145",
            "telephone_number": "724-226-3345",
            "fax_number": "724-226-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 PACIFIC AVE STE B",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652145",
            "telephone_number": "724-226-3345",
            "fax_number": "724-226-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACKO",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD036R70E",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD036270E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2745579",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014154670007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008241",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014154670004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbalacko10581@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1624 Pacific Ave Ste B",
            "city": "Natrona Heights",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150652145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

Verify at the official NPI Registry.