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NADINE BALLOUT MD
NPI 1003485525
Anesthesiology in Jackson, MI

Active since June 19, 2021PECOS Enrolled
205 N EAST AVE, JACKSON, MI 49201(517) 205-4730 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Jun 19, 2021 (2 updates tracked since 2021).

About Nadine Ballout Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NADINE BALLOUT MD (NPI 1003485525) is an individual anesthesiology provider in Jackson, Michigan, licensed in Michigan (4301517613) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of University Of Michigan Medical School (2021).

NPPES Registry Identity

NPI1003485525
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameNADINE BALLOUTCredential: MD
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000 · (734) 936-4280
Phone(517) 205-4730
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2021
Enumeration DateJune 19, 2021
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1003485525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MI · 4301517613
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
205 N EAST AVE, Jackson, MI 49201
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Secondary Practice Location 1

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4280

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nadine Ballout Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991106437
PECOS Enrollment IDI20260530000106
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4811
TERRI LYNN LADWIG ACNP-BC
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
SAMANTHA MISHRA DO
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4800
JOSHUA BOOTH CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
MICHELLE WINTERS
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NINA MARIE BOCK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (248) 990-5924
MRS. CHRISTINE HUFF RDN
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201
Jackson County (517) 768-7793
DUANE EDWARD WARREN PHARM. D.
Pharmacist (Pharmacotherapy)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nadine Ballout's NPI number?

The NPI number for Nadine Ballout is 1003485525. It was assigned to this individual provider in the NPPES registry on June 19, 2021.

Where is Nadine Ballout located?

Nadine Ballout practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4730.

What is Nadine Ballout's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nadine Ballout enrolled in Medicare?

Yes. Nadine Ballout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nadine Ballout was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.