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

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: August 02, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 4 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.