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DR. JORGE ENRIQUE BALANDRIN M.D.
NPI 1245369685
Internal Medicine in Oak Lawn, IL

Active since March 03, 2007PECOS EnrolledAccepts Medicare Assignment
4700 W 95TH ST STE 308, OAK LAWN, IL 60453(708) 424-1222(708) 229-2355 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Dec 31, 2021 (2 updates tracked since 2021).

About Dr. Jorge Enrique Balandrin M.d. NPPES

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

DR. JORGE ENRIQUE BALANDRIN M.D. (NPI 1245369685) is an individual internal medicine provider in Oak Lawn, Illinois, licensed in Illinois (036070483) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1245369685
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JORGE ENRIQUE BALANDRINCredential: M.D.
Location Address4700 W 95TH ST STE 308Oak Lawn, IL 60453-2572
Mailing Address10621 Palos West DrPalos Park, IL 60464-1598 · (708) 448-1476
Phone(708) 424-1222
Fax(708) 229-2355
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 3, 2007
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1245369685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036070483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4700 W 95TH ST STE 308, Oak Lawn, IL 60453
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jorge Enrique Balandrin 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 ID8325219413
PECOS Enrollment IDI20110921000624
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.

Medicare Billing Reassignment

Medicare enrollment records show Jorge Balandrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palos Internists Sc
1.1 mi
Internal Medicine
4647 W 103RD ST, SUITE 2L
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1942423660 (708) 952-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 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.
394 services207 patients
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.
239 services176 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
209 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
155 services155 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
140 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
71 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers35 claims118 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims36 services$1.14 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims350 services$5.06 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,056 services$0.28 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims276 services$0.56 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jorge Balandrin's NPI number?

The NPI number for Jorge Balandrin is 1245369685. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Where is Jorge Balandrin located?

Jorge Balandrin practices at 4700 W 95th St Ste 308, Oak Lawn, IL 60453. The listed phone number is (708) 424-1222.

What is Jorge Balandrin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jorge Balandrin enrolled in Medicare?

Yes. Jorge Balandrin 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.

Which organization bills Medicare for Jorge Balandrin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Balandrin reassigns Medicare benefits to Palos Internists Sc (Oak Lawn, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jorge Balandrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jorge Balandrin affiliated with any hospitals?

According to CMS data, Jorge Balandrin is affiliated with Palos Community Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Jorge Balandrin was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.