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DR. ALEX A BALEKIAN M.D.
NPI 1205912656
Internal Medicine - Critical Care Medicine in Daly City, CA

Active since October 28, 2006PECOS EnrolledAccepts Medicare Assignment
1900 SULLIVAN AVE, DALY CITY, CA 94015(000) 000-0000 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Aug 23, 2024, Jul 5, 2023 and 4 more (7 updates tracked since 2020).

About Dr. Alex A Balekian M.d. NPPES

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

DR. ALEX A BALEKIAN M.D. (NPI 1205912656) is an individual critical care medicine provider in Daly City, California, licensed in California (A96050) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Marble Falls, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1205912656
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ALEX A BALEKIANCredential: M.D.
Location Address1900 SULLIVAN AVEDaly City, CA 94015-2200
Mailing Address1146 N Central Ave # 335Glendale, CA 91202-2506
Phone(000) 000-0000
Sole ProprietorYes
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2003
Enumeration DateOctober 28, 2006
Last NPPES UpdateFebruary 10, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1205912656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in CA · A96050✔ Licensed in IL · 036154174✔ Licensed in NY · 307042
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A96050 (CA), 036154174 (IL)
1900 SULLIVAN AVE, Daly City, CA 94015
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Secondary Practice Locations 7

Location 1241 North RdPoughkeepsie, NY 12601-1154 · Phone (000) 000-0000
Location 23700 W 203rd St Ste 204Olympia Fields, IL 60461-1182 · Phone (708) 709-6295 · Fax (708) 709-6559
Location 3305 W Jackson St Ste 301Carbondale, IL 62901-1474 · Phone (618) 529-0520 ext. 66226 · Fax (618) 529-0519
Location 426800 Crown Valley Pkwy Ste 205Mission Viejo, CA 92691-6327 · Phone (949) 364-3330 · Fax (949) 364-2886
Location 5105 Marys AveKingston, NY 12401-5829 · Phone (000) 000-0000
Location 618300 Roscoe BlvdNorth Ridge, CA 91325 · Phone (000) 000-0000
Location 7396 BroadwayKingston, NY 12401-4626 · Phone (000) 000-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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. Alex A Balekian M.d. 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.

PECOS PAC ID8325075229
PECOS Enrollment IDI20061221000154
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.

Areas of Expertise CMS Part B claims 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
105 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
97 services42 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
33 services32 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
17 services17 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
17 services17 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

HUI MING YANG MD
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
San Mateo County (415) 680-4135
AHMC SETON MEDICAL CENTER LLC
General Acute Care Hospital
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
DR. MARY FINNEGAN M.D.
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP
Radiology (Radiation Oncology)
1900 SULLIVAN AVE, RADIATION ONCOLOGY DEPT
DALY CITY, CA 94015
San Mateo County (209) 342-2300
DR. CARLO JERICHO S MAGTIBAY MD
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
San Mateo County (415) 680-4135
SETON EMERGENCY PHYSICIANS INC
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
ADELE MAKOW M.D
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (415) 992-4000
TERESITA ARDONA ENRIQUEZ FNP
Nurse Practitioner (Family)
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000

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 Alex Balekian's NPI number?

The NPI number for Alex Balekian is 1205912656. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Alex Balekian located?

Alex Balekian practices at 1900 Sullivan Ave, Daly City, CA 94015. The listed phone number is (000) 000-0000.

What is Alex Balekian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Alex Balekian enrolled in Medicare?

Yes. Alex Balekian 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 Alex Balekian accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Alex Balekian 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 Alex Balekian affiliated with any hospitals?

According to CMS data, Alex Balekian is affiliated with Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Alex Balekian was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.