TONYA M BALMAKUND MD
NPI 1124148028
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Lowell, AR
About Tonya M Balmakund Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONYA M BALMAKUND MD (NPI 1124148028) is an individual neurology with special qualifications in child neurology provider in Lowell, Arkansas, licensed in Arkansas (E-1267) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tonya M Balmakund Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tonya Balmakund reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lowell, AR 72745
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1720217599 (Arkansas)
- 1,246 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 653 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 944 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 72745 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.
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 Tonya Balmakund's NPI number?
The NPI number for Tonya Balmakund is 1124148028. It was assigned to this individual provider in the NPPES registry on April 2, 2007. The provider is also known as Tonya M Phillips MD.
Where is Tonya Balmakund located?
Tonya Balmakund practices at 519 Latham Dr, Lowell, AR 72745. The listed phone number is (479) 750-0125.
What is Tonya Balmakund's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Tonya Balmakund enrolled in Medicare?
Yes. Tonya Balmakund is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tonya Balmakund's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Balmakund reassigns Medicare benefits to 3 organizations: University Of Arkansas For Medical Sciences (Lowell, AR), Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, 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 Tonya Balmakund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Balmakund accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tonya Balmakund 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 Tonya Balmakund was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tonya M Balmakund, MD · NPI 1124148028
Neurology with Special Qualifications in Child Neurology physician in Lowell, Arkansas. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1124148028 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** E-1267 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 519 LATHAM DR, Lowell, AR 72745-8360
- **Phone:** (479) 750-0125 · **Fax:** (479) 756-4154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1407021280, Lowell, AR); Arkansas Childrens Professional Services Organization LLC (NPI 1629889464, Little Rock, AR); Arkansas Childrens Hospital (NPI 1598773079, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2008
- **Other identifiers:** Medicaid 169668001 (AR); Medicare PIN 5K396 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1124148028) · Data from the CMS NPPES public registry.