Seymoure Balaj Sr.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901400060 Issued in MI

Practice address

25520 Karen Street
27600 Northwestern Highway Suite 260
Southfield, MI 48034

Phone

(248) 355-9300

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Seymoure Balaj Sr. Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Mobile Podiatry PLLCGroup PAC ID 2668601253, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Medical Mobile Podiatry, PLLC

  • Podiatrist
  • Southfield, MI
  • NPI 1013347244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972604114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25520 KAREN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371377",
            "telephone_number": "248-398-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25520 KAREN STREET",
            "address_2": "27600 NORTHWESTERN HIGHWAY SUITE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-355-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJ",
        "first_name": "SEYMOURE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901400060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEYMOURE",
            "last_name": "BALAJ",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Morgan Anne Baker, OD
• Roxann Baker, DDS
• Triniti Baker
• Walter Gary Baker, M.ED,LMSW,LPC,CAC-1
• Sandra Bakst, SLP
• Balajie Home Health Care, Inc.
• Balajie Hospice and Palliative Care, LLC
• Corina Balan, LMSW
• Michelle M Balancio, CRNA
• Molly Anne Balbach, DPT, OMPT

• Primary Podiatric Medicine Podiatrist in Southfield, MI
• Providers in Southfield, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.