DR. DAVID HOWARD BALABAN MD
NPI 1225035959
Specialist in Charlottesville, VA

Q: What is David Balaban's NPI number?

The NPI number for David Balaban is 1225035959. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is David Balaban's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for David Balaban was last updated on January 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment

80.82/100

CMS Quality Rating

1139 E HIGH ST, CHARLOTTESVILLE, VA 22902(434) 817-8484 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. David Howard Balaban Md NPPES

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

DR. DAVID HOWARD BALABAN MD (NPI 1225035959) is an individual specialist in Charlottesville, Virginia, licensed in Virginia (0101049501) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of University Of Maryland School Of Medicine (1990).

NPPES Registry Identity

NPI1225035959

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DAVID HOWARD BALABANCredential: MD

Location Address1139 E HIGH STCharlottesville, VA 22902-4856

Mailing Address1139 E High StCharlottesville, VA 22902-4856 · (434) 817-8484

Phone(434) 817-8484

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1990

Enumeration DateJuly 7, 2005

Last NPPES UpdateJanuary 28, 2009

✔ NPI 1225035959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101049501

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1139 E HIGH ST, Charlottesville, VA 22902

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Other Identifiers 3

Medicare ID-Type Unspecified100000178VA · Medicare Number

Medicare UPINF57193VA

Medicaid005802431VA

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. David Howard Balaban Md 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 ID2163553157

PECOS Enrollment IDI20100708000909

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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

327 services263 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

191 services172 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

146 services145 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

134 services134 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

102 services102 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

88 services88 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

59 services59 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

59 services59 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

28 services28 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

20 services20 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

13 services13 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490077

Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County

Emergency services Birthing friendly

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.

80.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.63

Promoting Interoperability

100

Improvement Activities

Cost

74.45

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIEGO ALONSO GOMEZ MD

Specialist

1139 E HIGH ST
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

EMILY CHRISTMAN M.D.

Internal Medicine (Gastroenterology)

1139 E HIGH ST, SUITE 203
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

DR. MICHAEL JOHN OBLINGER MD

Specialist

1139 E HIGH ST
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

DR. BYRD STUART LEAVELL JR. MD

Specialist

1139 E HIGH ST
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

DONNA HARTNETT SMITH NP

Nurse Practitioner

1139 E HIGH ST
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

VIRGINIA PENDER MICHEL ANP

Nurse Practitioner (Adult Health)

1139 E HIGH ST
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

CHARLOTTESVILLE GASTROENTEROLOGY ASSOCIATES PC

Specialist

1139 E HIGH ST, SUITE 203
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

DR. DANIEL JOHN PAMBIANCO MD

Specialist

1139 E HIGH ST
CHARLOTTESVILLE, VA 22902

Charlottesville City (434) 817-8484

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 David Balaban's NPI number?

The NPI number for David Balaban is 1225035959. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is David Balaban located?

David Balaban practices at 1139 E High St, Charlottesville, VA 22902. The listed phone number is (434) 817-8484.

What is David Balaban's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is David Balaban enrolled in Medicare?

Yes. David Balaban 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 David Balaban affiliated with any hospitals?

According to CMS data, David Balaban is affiliated with University Of Virginia Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for David Balaban was last updated on January 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.