DR. KAREN M BALZANTO M.D.
NPI 1124179882
Pediatrics in Naperville, IL

Q: What is Karen Balzanto's NPI number?

The NPI number for Karen Balzanto is 1124179882. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Karen Balzanto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Balzanto was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 16, 2007PECOS Enrolled

801 S WASHINGTON ST, NAPERVILLE, IL 60540(630) 527-3355(630) 527-5018 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2026, Aug 16, 2024 (2 updates tracked since 2024).

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About Dr. Karen M Balzanto M.d. NPPES

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

DR. KAREN M BALZANTO M.D. (NPI 1124179882) is an individual pediatrics provider in Naperville, Illinois, licensed in Illinois (036-090616) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Charles.

NPPES Registry Identity

NPI1124179882

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KAREN M BALZANTOCredential: M.D.

Location Address801 S WASHINGTON STNaperville, IL 60540-7430

Mailing Address35w301 Lambert AveSt Charles, IL 60174-4918 · (630) 587-0884

Phone(630) 527-3355

Fax(630) 527-5018

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1124179882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-090616

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 036-090616 (IL)

801 S WASHINGTON ST, Naperville, IL 60540

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Secondary Practice Location 1

Location 13310 W Main St Ste 100St Charles, IL 60175-1024 · Phone (630) 348-3100 · Fax (630) 513-0727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen M Balzanto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Balzanto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skilled Facility Health Care Solutions Inc

1,729 mi

Surgery

5455 S CENTINELA AVE
Los Angeles, CA 90066

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1104018423 (310) 445-5999

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 60540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. HAFEZ M. SAMI M.D.

Pain Medicine (Interventional Pain Medicine)

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 348-3300

MICHAEL J. HARTMANN MD

Emergency Medicine

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 527-3000

SEEMA ISHAQ JEELANI D.O.

Emergency Medicine

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 527-3000

CORTNEY COLE MD

Family Medicine (Hospice and Palliative Medicine)

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 527-3000

EDWARD HOSPITAL

General Acute Care Hospital

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 655-0450

DR. HODA A. EL- ASMAR MD

Internal Medicine (Infectious Disease)

801 S WASHINGTON ST, EDWARD HOSPITAL, ADMINISTRATION, VPMA OFFICE
NAPERVILLE, IL 60540

Dupage County (630) 527-5647

AMAAR MASOOD MALIK DO

Radiology (Diagnostic Radiology)

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 527-3200

DR. SANGITA RANGALA M.D.

Emergency Medicine

801 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (630) 527-3288

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 Karen Balzanto's NPI number?

The NPI number for Karen Balzanto is 1124179882. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Karen Balzanto located?

Karen Balzanto practices at 801 S Washington St, Naperville, IL 60540. The listed phone number is (630) 527-3355.

What is Karen Balzanto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Balzanto enrolled in Medicare?

Yes. Karen Balzanto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Balzanto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Balzanto reassigns Medicare benefits to Skilled Facility Health Care Solutions Inc (Los Angeles, CA). The 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 Karen Balzanto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Balzanto was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.