EMMA ELIZABETH BALFANZ MD
NPI 1043660624
Obstetrics & Gynecology in Indianapolis, IN
About Emma Elizabeth Balfanz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMA ELIZABETH BALFANZ MD (NPI 1043660624) is an individual obstetrics & gynecology provider in Indianapolis, Indiana, licensed in Indiana (01084563A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of University Of Minnesota Medical School (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Emma Elizabeth Balfanz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Emma Balfanz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sycamore, IL 60178
- Reassigned Medicare billing, Illinois enrollment
- 474 clinicians in this Medicare group
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 318 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Emma Balfanz's NPI number?
The NPI number for Emma Balfanz is 1043660624. It was assigned to this individual provider in the NPPES registry on June 15, 2016.
Where is Emma Balfanz located?
Emma Balfanz practices at 550 University Blvd Ste 2440, Indianapolis, IN 46202. The listed phone number is (317) 948-5923.
What is Emma Balfanz's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Emma Balfanz enrolled in Medicare?
Yes. Emma Balfanz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Emma Balfanz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emma Balfanz reassigns Medicare benefits to 2 organizations: Swedishamerican Hospital (Sycamore, IL) and St Bernards Hospital Inc. (Jonesboro, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Balfanz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emma Balfanz accept?
Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Security Health Plan list Emma Balfanz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Emma Balfanz was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Emma Elizabeth Balfanz, MD · NPI 1043660624
Obstetrics & Gynecology physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 15, 2016.
## Identity
- **NPI:** 1043660624 (Entity type: Individual)
- **Enumerated:** June 15, 2016
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 01084563A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 550 UNIVERSITY BLVD, STE 2440, Indianapolis, IN 46202-5149
- **Phone:** (317) 948-5923 · **Fax:** (317) 948-7454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Swedishamerican Hospital (NPI 1528234242, Sycamore, IL); St Bernards Hospital Inc. (NPI 1396053096, Jonesboro, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2016
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043660624) · Data from the CMS NPPES public registry.