Individual provider Active NPI

John Darrell Balazs, DO

  • Otolaryngology Physician
  • Dayton, OH
National Provider Identifier
1962505933
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34005564 Issued in OH
Practice address
425 W Grand Avenue
Suite 2003
Dayton, OH 45405-4722
Phone
(937) 723-5888
Fax
(937) 226-0825
NPI assigned
Sep 6, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34005564 OH Primary

Addresses

Primary practice location

425 W Grand Avenue
Suite 2003
Dayton, OH 45405-4722

Mailing address

1290 Chisolm TRL
Dayton, OH 45458
Phone (937) 886-9481

Other identifiers 1

IdentifierTypeStateIssuer
0382616MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080825000356 OH Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 0446325591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Plastic and Reconstructive Surgery
Education
Ohio University, College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Alway Balazs and Associates IncGroup PAC ID 1456426592, 2 clinicians

Practice addresses (Care Compare)

113 W National Rd
Vandalia, OH 45377-1934
Phone (937) 723-5888

1157 N Monroe Dr
Suite 230
Xenia, OH 45385-1697
Phone (937) 723-5888

425 W Grand Ave
Suite 2003
Dayton, OH 45405-4722
Phone (937) 723-5888

450 Washington Jackson Rd
Suite 112
Eaton, OH 45320-7600
Phone (937) 723-5888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision13
Removal or shaving of skin growth17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34005564OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Alway Balazs and Associates Inc CurrentSince Dec 1, 2007 Accepting new patients
Alliance Physicians Inc Past Accepting new patients

Locations

2510 Commons Blvd
Ste 200A
Beavercreek, OH 45431
Phone (937) 433-3460

425 W Grand Ave
Ste 2003
Dayton, OH 45405
Phone (937) 723-5888

450 Washington Jackson Rd
Ste 112
Eaton, OH 45320
Phone (937) 226-7888

8701 Old Troy Pike
Ste 40B
Huber Heights, OH 45424
Phone (937) 439-6242

1157 N Monroe Dr
Ste 230
Xenia, OH 45385
Phone (937) 352-2790

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1962505933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHISOLM TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "937-886-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVENUE",
            "address_2": "SUITE 2003",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054722",
            "telephone_number": "937-723-5888",
            "fax_number": "937-226-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZS",
        "first_name": "JOHN",
        "middle_name": "DARRELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34005564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382616",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.