Bantwal Suresh Baliga, M.D.

Key facts

NPI

1992847669

Entity type

Individual (NPI type 1)

Primary specialty

Endocrinology, Diabetes & Metabolism Physician 207RE0101X

License

056680 (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

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• East Alabama Endocrinology, P.C. Specialist · Opelika, AL · NPI 1588803811
  Medicare reassignment Care Compare group NPD AL · GA
• Athens Heart Center, PC Cardiovascular Disease Physician · Athens, GA · NPI 1447338744
  Medicare reassignment Care Compare group NPD GA
• Chattahoochee Institute for Wellness, Longevity & Weight Management Obesity and Weight Management Nutrition Registered Dietitian · Columbus, GA · NPI 1770366049
  Medicare reassignment NPD Authorized official GA
• Georgia Clinic, PC Multi-Specialty Clinic/Center · Dunwoody, GA · NPI 1609816123
  Medicare reassignment Care Compare group NPD GA
• Hospital Authority of the City of Bainbridge and Decatur County Multi-Specialty Clinic/Center · Bainbridge, GA · NPI 1053388256
  NPD (past)
• South Atlanta Medical Group, Inc Internal Medicine Physician · Atlanta, GA · NPI 1841578853
  NPD (past)

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Russell Hospital Corporation General Acute Care Hospital · Alexander City, AL · NPI 1811913460
  Care Compare affiliation Hospital
• The East Alabama Health Care Authority General Acute Care Hospital · Opelika, AL · NPI 1154386431
  Care Compare affiliation Hospital
• St Francis Health LLC General Acute Care Hospital · Columbus, GA · NPI 1033228168
  Care Compare affiliation Hospital
• The Medical Center Inc General Acute Care Hospital · Columbus, GA · NPI 1255401519
  Care Compare affiliation Hospital
• West Georgia Medical Center, Inc. General Acute Care Hospital · Lagrange, GA · NPI 1821221144
  Care Compare affiliation Hospital

Medicare Care Compare profile

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. (7 clinicians)
Georgia Clinic, PC (23 clinicians)
Athens Heart Center, PC (3 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar West Georgia Medical Center Hospital · Lagrange, GA · CCN 110016
• The East Alabama Healthcare Authority Hospital · Opelika, AL · CCN 010029
• Piedmont Columbus Regional Midtown Hospital · Columbus, GA · CCN 110064
• Russell Medical Center Hospital · Alexander City, AL · CCN 010065
• St Francis Hospital- Emory Healthcare Hospital · Columbus, GA · CCN 110129

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in GA, AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2012.

{
    "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": []
}

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All providers in Opelika, AL · Endocrinology, Diabetes & Metabolism Physician in Alabama