DR. JOHN MICHAEL BALINTONA MD
NPI 1104813583
Obstetrics & Gynecology in Fargo, ND
About Dr. John Michael Balintona Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN MICHAEL BALINTONA MD (NPI 1104813583) is an individual obstetrics & gynecology provider in Fargo, North Dakota, licensed in North Dakota (PT16256) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Michael Balintona 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNEssentia Health Fosston
Critical Access Hospitals · Fosston, MNEssentia Health
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58103 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.
FARGO, ND 58103
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 John Balintona's NPI number?
The NPI number for John Balintona is 1104813583. It was assigned to this individual provider in the NPPES registry on September 30, 2005.
Where is John Balintona located?
John Balintona practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.
What is John Balintona's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is John Balintona enrolled in Medicare?
Yes. John Balintona 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.
What insurance does John Balintona accept?
Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list John Balintona 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.
Is John Balintona affiliated with any hospitals?
According to CMS data, John Balintona is affiliated with Essentia Health St Marys - Detroit Lakes, Essentia Health Fosston and Essentia Health.
When was this NPI record last updated?
The NPPES record for John Balintona was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. John Michael Balintona, MD · NPI 1104813583
Obstetrics & Gynecology physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since September 30, 2005.
## Identity
- **NPI:** 1104813583 (Entity type: Individual)
- **Enumerated:** September 30, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** PT16256 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 32ND AVE S, Fargo, ND 58103-6132
- **Phone:** (701) 364-8000 · **Fax:** (701) 364-8078
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 1996
## Record status
- **NPPES last updated:** February 18, 2020
- **Other identifiers:** Medicaid 03153827 (NM); Medicaid 707193 (AZ); Medicaid 91659558 (CO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1104813583) · Data from the CMS NPPES public registry.