Individual provider Active NPI

Bantwal Suresh Baliga, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Opelika, AL
National Provider Identifier
1992847669
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
056680 Issued in GA
Practice address
3320 Skyway Dr
Suite 808
Opelika, AL 36801-7137
Phone
(334) 737-2737
Fax
(334) 821-1043
NPI assigned
Feb 12, 2007
Last updated
Jul 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 056680 GA Primary

Addresses

Primary practice location

3320 Skyway Dr
Suite 808
Opelika, AL 36801-7137

Mailing address

3320 Skyway Dr
Suite 808
Opelika, AL 36801-7137
Phone (334) 737-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20050921000742 GA Practitioner - Endocrinology 9638152911 Reassigns benefits to 4 organizations
I20080514000695 AL Practitioner - Endocrinology 9638152911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Alabama Endocrinology, P.C.Group PAC ID 8224187729, 7 clinicians
Georgia Clinic, PCGroup PAC ID 8426949587, 23 clinicians
Athens Heart Center, PCGroup PAC ID 0244134583, 3 clinicians

Practice addresses (Care Compare)

1400 Bradley Lake Blvd
Columbus, GA 31904-3688
Phone (706) 256-2525

1810 Stadium Dr
Suite 210
Phenix City, AL 36867-3179
Phone (706) 507-2050

1841 Chamblee Tucker Rd
Suite 1 2a
Atlanta, GA 30341-2755
Phone (678) 325-6480

2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700

3320 Skyway Dr
Opelika, AL 36801-7137

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056680GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Heart Center, PC CurrentSince Feb 11, 2019 Accepting new patients
East Alabama Endocrinology, P.C. CurrentSince Jan 9, 2009 Accepting new patients
Georgia Clinic, PC CurrentSince Jun 8, 2024 Accepting new patients
Chattahoochee Institute for Wellness, Longevity & Weight Management CurrentSince Aug 14, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
South Atlanta Medical Group, Inc Past Accepting new patients

Locations

2214 Gateway Dr
Ste C
Opelika, AL 36801
Phone (334) 741-0075

3320 Skyway Dr
Ste 602
Opelika, AL 36801
Phone (334) 737-2737

3320 Skyway Dr
Ste 808
Opelika, AL 36801
Phone (334) 737-2737

1810 Stadium Dr
Ste 210
Phenix City, AL 36867
Phone (334) 291-5255

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

1841 Chamblee Tucker Rd
Ste 1-2A
Atlanta, GA 30341
Phone (678) 325-6480

110 Enterprise Ct
Ste B
Columbus, GA 31904
Phone (706) 507-0001

1400 Bradley Lake Blvd
Columbus, GA 31904
Phone (706) 256-2525

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

Interoperability endpoints

  • Direct secure messaging: bbaliga@eastalaendo1.directbygreenway.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 5

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1992847669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR",
            "address_2": "SUITE 808",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017137",
            "telephone_number": "334-737-2737",
            "fax_number": "334-821-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR",
            "address_2": "SUITE 808",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017137",
            "telephone_number": "334-737-2737",
            "fax_number": "334-821-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIGA",
        "first_name": "BANTWAL",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "056680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.