DANIEL F BALKOVETZ MD
NPI 1245285766
Internal Medicine - Nephrology in Birmingham, AL

Active since May 23, 2006PECOS Enrolled
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daniel F Balkovetz Md NPPES

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

DANIEL F BALKOVETZ MD (NPI 1245285766) is an individual nephrology provider in Birmingham, Alabama, licensed in Alabama (15820) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245285766
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDANIEL F BALKOVETZCredential: MD
Location Address619 19TH STREET SOUTHBirmingham, AL 35233
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 14, 2013
NPI 1245285766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AL · 15820
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
619 19TH STREET SOUTH, Birmingham, AL 35233

Other Identifiers 13

Other051500524AL · Blue Cross
Medicaid000083909AL
Other000083917AL · Blue Cross
Other051510646AL · Blue Cross
Medicare ID-Type Unspecified051083909AL
OtherE93006AL · Viva
Other700007698AL · Railroad Medicare
Medicare ID-Type Unspecified000083917AL
Other000083909AL · Blue Cross
Medicaid000083917AL
Medicaid009900035AL
Medicaid009968570AL
Other16429AL · Healthspring

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel F Balkovetz Md 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 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Psychiatry & Neurology (Psychiatry)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Social Worker (Clinical)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Neurological Surgery
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Neurology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine (Geriatric Medicine)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Anesthesiology
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233

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 Daniel Balkovetz's NPI number?

The NPI number for Daniel Balkovetz is 1245285766. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Daniel Balkovetz located?

Daniel Balkovetz practices at 619 19th Street South, Birmingham, AL 35233. The listed phone number is (205) 934-4011.

What is Daniel Balkovetz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Daniel Balkovetz enrolled in Medicare?

Yes. Daniel Balkovetz is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Balkovetz accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Daniel Balkovetz 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.

When was this NPI record last updated?

The NPPES record for Daniel Balkovetz was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.