L. DOUGLAS BALKE MD PLC
NPI 1093449761
Psychiatry & Neurology - Psychiatry in Prescott, AZ

Active since July 10, 2022
1680 W IRON SPRINGS RD STE 103, PRESCOTT, AZ 86305(928) 235-6346(928) 421-3182 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About L. Douglas Balke Md Plc NPPES

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

L. DOUGLAS BALKE MD PLC (NPI 1093449761) is a healthcare organization registered as a psychiatry in Prescott, Arizona and active in the NPI registry since July 2022. The organization lists Len Balke, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1093449761
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameL. DOUGLAS BALKE MD PLC
Location Address1680 W IRON SPRINGS RD STE 103Prescott, AZ 86305-3313
Mailing Address845 Crystal View DrPrescott, AZ 86301-6696 · (928) 235-6346 · Fax (928) 421-3182
Fax(928) 421-3182
Organization SubpartNo
Authorized OfficialLen BalkeOwner/provider · (970) 903-9993
Enumeration DateJuly 10, 2022
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1093449761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1680 W IRON SPRINGS RD STE 103, Prescott, AZ 86305

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

L. Douglas Balke Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to L. Douglas Balke MD Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1992787527
1680 W IRON SPRINGS RD STE 103
Prescott, AZ 86305
(928) 235-6346
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 L. Douglas Balke MD Plc's NPI number?

The NPI number for L. Douglas Balke MD Plc is 1093449761. It was assigned to this organization in the NPPES registry on July 10, 2022.

Where is L. Douglas Balke MD Plc located?

L. Douglas Balke MD Plc is located at 1680 W Iron Springs Rd Ste 103, Prescott, AZ 86305. The listed phone number is (928) 235-6346.

What is L. Douglas Balke MD Plc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is L. Douglas Balke MD Plc enrolled in Medicare?

Yes. L. Douglas Balke MD Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through L. Douglas Balke MD Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to L. Douglas Balke MD Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for L. Douglas Balke MD Plc was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.