ANDREW BALAVITCH
NPI 1184076168
Nurse Practitioner in Royal Oak, MI
About Andrew Balavitch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW BALAVITCH (NPI 1184076168) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704297101) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Balavitch 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Balavitch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 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.
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
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 Andrew Balavitch's NPI number?
The NPI number for Andrew Balavitch is 1184076168. It was assigned to this individual provider in the NPPES registry on July 1, 2016.
Where is Andrew Balavitch located?
Andrew Balavitch practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 551-5000.
What is Andrew Balavitch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Andrew Balavitch enrolled in Medicare?
Yes. Andrew Balavitch 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.
Which organization bills Medicare for Andrew Balavitch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Balavitch reassigns Medicare benefits to Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). 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 Andrew Balavitch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Balavitch accept?
Health plans from Priority Health list Andrew Balavitch 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 Andrew Balavitch affiliated with any hospitals?
According to CMS data, Andrew Balavitch is affiliated with Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Andrew Balavitch was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Andrew Balavitch · NPI 1184076168
Nurse Practitioner physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since July 1, 2016.
## Identity
- **NPI:** 1184076168 (Entity type: Individual)
- **Enumerated:** July 1, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704297101 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3601 W 13 MILE RD, Royal Oak, MI 48073-6712
- **Phone:** (248) 551-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184076168) · Data from the CMS NPPES public registry.