DR. MICHAEL W BALBUS M.D.
NPI 1245298041
Pediatrics - Neonatal-Perinatal Medicine in Bloomington, IN
NPI Status: Active since May 02, 2006
Contact Information
2651 E DISCOVERY PKWY
BLOOMINGTON, IN
ZIP 47408
Phone: (812) 353-9852
Fax: (812) 353-9278
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- PECOS Enrolled
About MICHAEL BALBUS
This page provides the complete NPI Profile along with additional information for Michael Balbus, a pediatrician established in Bloomington, Indiana with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1245298041 assigned on May 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 79957 (AZ). The provider is registered as an individual and his NPI record was last updated May 2026.
- NPI
- 1245298041
- Provider Name
- DR. MICHAEL W BALBUS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408
- Location Phone
- (812) 353-9852
- Location Fax
- (812) 353-9278
- Mailing Address
- 250 N SHADELAND AVE INDIANAPOLIS, IN 46219
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-02-2006
- Last Update Date
- 05-21-2026
- Code Navigator
A pediatrician like Michael Balbus is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 225 East Chicago Avenue Box 152
Chicago, IL 60611
(312) 227-7413
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 79957
- License State
- AZ
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 036-091626 (IL) |
| 2 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 01060372A (IN) |
| 3 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 168666-01 (NY) |
| 4 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 0101259640 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 021622158 | OTHER (01) | IL | GROUP BLUE SHIELD NUMBER |
| 036091626 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Michael Balbus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245298041, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245298041, enumerated as an "individual" on May 02, 2006.
The provider is located at 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 and the phone number is (812) 353-9852.
Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
