SACHA BALMIR DO
NPI 1255438131
Internal Medicine - Nephrology in Huntington, NY

Q: What is Sacha Balmir's NPI number?

The NPI number for Sacha Balmir is 1255438131. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Sacha Balmir's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sacha Balmir was last updated on July 30, 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

325 PARK AVE, HUNTINGTON, NY 11743(631) 351-3784(631) 547-5349 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sacha Balmir Do NPPES

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

SACHA BALMIR DO (NPI 1255438131) is an individual nephrology provider in Huntington, New York, licensed in New York (241468) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1255438131

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSACHA BALMIRCredential: DO

Location Address325 PARK AVEHuntington, NY 11743-2779

Mailing Address325 Park AveHuntington, NY 11743-2779 · (631) 351-3784 · Fax (631) 547-5349

Phone(631) 351-3784

Fax(631) 547-5349

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2002

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 30, 2024

NPPES CertifiedJuly 30, 2024

✔ NPI 1255438131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in NY · 241468✔ Licensed in NJ · 25MB08121300

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MB08121300 (NJ)

325 PARK AVE, Huntington, NY 11743

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Secondary Practice Location 1

Location 11 Clara Maass DrBelleville, NJ 07109-3550 · Phone (973) 450-2000 · Fax (732) 923-2272

Other Identifiers 2

Medicaid0125229NJ

OtherP00766582NJ · Rr Medicare

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

Sacha Balmir Do 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 ID2264431451

PECOS Enrollment IDI20061218000139

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 Reassignments

Medicare enrollment records show Sacha Balmir reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Medical Group Of The Mount Sinai School Of Medicine

1.9 mi

Gastroenterology

775 PARK AVE
Huntington, NY 11743

Reassigned Medicare billing, New York enrollment
572 clinicians in this Medicare group

NPI 1164623278 (631) 659-4400

Optum Medical Care Of New Jersey PC

16 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

North Shore-Lij Medical PC

16 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

Nephrological Associates, PA

51 mi

Specialist

83 HANOVER ROAD, SUITE 290
Florham Park, NJ 07932

Reassigned Medicare billing, New Jersey enrollment
21 clinicians in this Medicare group

NPI 1740407923 (973) 736-2212

Rwjbh Emergency Medicine Associates, LLC

62 mi

Emergency Medicine

3 EXECUTIVE DR, STE 400
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
1,557 clinicians in this Medicare group

NPI 1912510041 (732) 867-9618

Northeast Kidney Care LLC

67 mi

Internal Medicine

210 JACK MARTIN BLVD STE D1
Brick, NJ 08724

Reassigned Medicare billing, New Jersey enrollment
78 clinicians in this Medicare group

NPI 1023889565 (732) 458-5854

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

195 services116 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.

89 services56 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

25 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

RICHARD B SCHWARZ M.D.

Internal Medicine (Nephrology)