DR. LESZEK ADAM BALLA D.D.S.
NPI 1346364411
Dentist in Maywood, IL

Q: What is Leszek Balla's NPI number?

The NPI number for Leszek Balla is 1346364411. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Q: What is Leszek Balla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Leszek Balla was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 16, 2007PECOS Enrolled

1701 S 1ST AVE, SUITE 102, MAYWOOD, IL 60153(708) 450-5300 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2021, Jul 13, 2020 (2 updates tracked since 2020).

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About Dr. Leszek Adam Balla D.d.s. NPPES

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

DR. LESZEK ADAM BALLA D.D.S. (NPI 1346364411) is an individual dentist in Maywood, Illinois, licensed in Illinois (019-017066) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346364411

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LESZEK ADAM BALLACredential: D.D.S.

Location Address1701 S 1ST AVE, SUITE 102Maywood, IL 60153-2442

Mailing Address3638 Crain StSkokie, IL 60076-2352 · (847) 329-0972

Phone(708) 450-5300

Sole ProprietorNo

Enumeration DateMarch 16, 2007

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1346364411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019-017066

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2604-015 (WI), 019-017066 (IL)

1701 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leszek Adam Balla D.d.s. 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.

Medicare Billing Reassignment

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

Cook County

1.9 mi

Primary Care

1800 S. HARLEM AVE
Riverside, IL 60546

Reassigned Medicare billing, Illinois enrollment
1,047 clinicians in this Medicare group

NPI 1497875298 (708) 783-9800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERACTIVE HEALTHCARE OF CENTRAL ILLINOIS

Home Health

1701 S 1ST AVE, SUITE 503
MAYWOOD, IL 60153

Cook County (708) 344-7930

JILLIAN M SAVINO PT

Physical Therapist

1701 S 1ST AVE, 404-1
MAYWOOD, IL 60153

Cook County (312) 662-8777

ENHANCED CLINICAL SOLUTIONS, INC

Community/Behavioral Health

1701 S 1ST AVE, SUITE# 310
MAYWOOD, IL 60153

Cook County (708) 344-0884

CHARLES C BROWN PHD

Counselor

1701 S 1ST AVE
MAYWOOD, IL 60153

Cook County (773) 234-7349

PATHWAY TO A LASTING RECOVERY

Non-emergency Medical Transport (VAN)

1701 S 1ST AVE, SUITE# 310
MAYWOOD, IL 60153

Cook County (708) 344-0884

ALLISON R RADICE PHD

Counselor (Mental Health)

1701 S 1ST AVE
MAYWOOD, IL 60153

Cook County (773) 497-4328

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 Leszek Balla's NPI number?

The NPI number for Leszek Balla is 1346364411. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Leszek Balla located?

Leszek Balla practices at 1701 S 1st Ave Suite 102, Maywood, IL 60153. The listed phone number is (708) 450-5300.

What is Leszek Balla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Leszek Balla enrolled in Medicare?

Yes. Leszek Balla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leszek Balla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leszek Balla reassigns Medicare benefits to Cook County (Riverside, 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 Leszek Balla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leszek Balla accept?

Health plans from Humana list Leszek Balla 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 Leszek Balla was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.