LOUISA BALAZS M.D.
NPI 1306821400
Pathology - Anatomic Pathology & Clinical Pathology in Memphis, TN

Q: What is Louisa Balazs's NPI number?

The NPI number for Louisa Balazs is 1306821400. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Q: What is Louisa Balazs's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Louisa Balazs was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 12, 2005PECOS EnrolledAccepts Medicare Assignment

71.84/100

CMS Quality Rating

5959 PARK AVE, MEMPHIS, TN 38119(901) 765-2131(901) 765-2064 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Louisa Balazs M.d. NPPES

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

LOUISA BALAZS M.D. (NPI 1306821400) is an individual anatomic pathology & clinical pathology provider in Memphis, Tennessee, licensed in Tennessee (027777) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1306821400

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameLOUISA BALAZSCredential: M.D.

Location Address5959 PARK AVEMemphis, TN 38119-5200

Mailing AddressPo Box 1483Indianapolis, IN 46206-1483 · (877) 262-6446 · Fax (317) 705-5060

Phone(901) 765-2131

Fax(901) 765-2064

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateDecember 12, 2005

Last NPPES UpdateJanuary 31, 2017

✔ NPI 1306821400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TN · 027777

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

5959 PARK AVE, Memphis, TN 38119

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Other Identifiers 4

Medicare UPING81138TN

Medicaid3820016TN

Medicare ID-Type Unspecified3820017TN

Medicare PIN3820017TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc..Insurance ›

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

Louisa Balazs 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 ID7416917588

PECOS Enrollment IDI20041013000540

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 Louisa Balazs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Pathology Group PC

0.1 mi

Anatomic Pathology & Clinical Pathology

5959 PARK AVE, ATTN: PATHOLOGY DEPT
Memphis, TN 38119

Reassigned Medicare billing, Tennessee enrollment
9 clinicians in this Medicare group

NPI 1679547749 (901) 765-2731

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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,267 services404 patients

Pathology clinical consultation for clinical problem, 5-20 minutes 80503

A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.

1,001 services870 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

440 services78 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

163 services155 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

146 services125 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

145 services124 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

141 services103 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

105 services77 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

87 services38 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

58 services57 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

49 services47 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

39 services26 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

39 services18 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

33 services31 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

32 services24 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

21 services18 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital

Acute Care Hospitals · Memphis, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440183

Location5959 Park AveMemphis, TN 38119 · Shelby County

Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440228

Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

71.84/100

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

Individually scored

Quality

100

Improvement Activities

Cost

87.79

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.

SHELIA FAY ARNOLD AGNP

Nurse Practitioner

5959 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 765-1000

TERRY L THOMPSON MD

Radiology (Diagnostic Radiology)

5959 PARK AVE, RADIOLOGY DEPARTMENT
MEMPHIS, TN 38119

Shelby County (901) 765-3212

STEFAN J COWLES MD

Radiology (Diagnostic Radiology)

5959 PARK AVE, RADIOLOGY DEPARTMENT
MEMPHIS, TN 38119

Shelby County (901) 765-3212

HANAH ROSE CATES

Physician Assistant (Medical)

5959 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 765-1000

MR. ADIDAS EDDINGS

Specialist/Technologist, Pathology (Medical Technologist)

5959 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 831-1876

METHODIST HEALTHCARE EAST HOSPITAL

Rehabilitation Unit

5959 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 765-1000

ALEXIS A ALEXANDER

Nurse Anesthetist, Certified Registered

5959 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 765-1000

RENEE JEAN SCHROEDER DPT, PT

Physical Therapist

5959 PARK AVE
MEMPHIS, TN 38119

Shelby County (501) 257-6407

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 Louisa Balazs's NPI number?

The NPI number for Louisa Balazs is 1306821400. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Louisa Balazs located?

Louisa Balazs practices at 5959 Park Ave, Memphis, TN 38119. The listed phone number is (901) 765-2131.

What is Louisa Balazs's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Louisa Balazs enrolled in Medicare?

Yes. Louisa Balazs 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 Louisa Balazs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louisa Balazs reassigns Medicare benefits to The Pathology Group PC (Memphis, TN). 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 Louisa Balazs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Louisa Balazs accept?

Health plans from Cigna Healthcare and Oscar Health Plan, Inc. list Louisa Balazs 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.

Is Louisa Balazs affiliated with any hospitals?

According to CMS data, Louisa Balazs is affiliated with St Francis Hospital and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Louisa Balazs was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.