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ELI BALSHAN
NPI 1215314554
Pathology - Anatomic Pathology & Clinical Pathology in Philadelphia, PA

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-4353(215) 707-2781 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Sep 9, 2022, Aug 20, 2020 and 1 more (4 updates tracked since 2020).

About Eli Balshan NPPES

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

ELI BALSHAN (NPI 1215314554) is an individual anatomic pathology & clinical pathology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD467446) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1215314554
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameELI BALSHAN
Location Address3401 N BROAD STPhiladelphia, PA 19140-5189
Mailing Address3500 N Broad StPhiladelphia, PA 19140-4106
Phone(215) 707-4353
Fax(215) 707-2781
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 6, 2015
Last NPPES UpdateJune 6, 20244 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1215314554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in PA · MD467446
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3401 N BROAD ST, Philadelphia, PA 19140
Open in Google Maps ↗

Other Names 1

Former Name (1)Eli Blashkovksy

Secondary Practice Location 1

Location 194 Old Short Hills RdLivingston, NJ 07039-5672 · Phone (973) 322-8720

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

Eli Balshan 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 ID5799112892
PECOS Enrollment IDI20200303000031, I20220726000688
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
247 services161 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
92 services89 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
39 services30 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
28 services24 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
26 services23 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
24 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Wyckoff Heights Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330221
Location374 Stockholm StreetBrooklyn, NY 11237 · Kings County
Emergency services Birthing friendly

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Eli Balshan's NPI number?

The NPI number for Eli Balshan is 1215314554. It was assigned to this individual provider in the NPPES registry on May 6, 2015. The provider is also known as Eli Blashkovksy.

Where is Eli Balshan located?

Eli Balshan practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-4353.

What is Eli Balshan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Eli Balshan enrolled in Medicare?

Yes. Eli Balshan 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.

Is Eli Balshan affiliated with any hospitals?

According to CMS data, Eli Balshan is affiliated with Peconic Bay Medical Center, Wyckoff Heights Medical Center and Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Eli Balshan was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.