DR. TAREK BALAMANE M.D.
NPI 1376084616
Family Medicine in Metairie, LA

Q: What is Tarek Balamane's NPI number?

The NPI number for Tarek Balamane is 1376084616. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is Tarek Balamane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tarek Balamane was last updated on May 2, 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.

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment

4228 HOUMA BLVD, STE 200, METAIRIE, LA 70006(504) 454-7878 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2023, Apr 25, 2017, Mar 20, 2017 (3 updates tracked since 2017).

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About Dr. Tarek Balamane M.d. NPPES

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

DR. TAREK BALAMANE M.D. (NPI 1376084616) is an individual family medicine provider in Metairie, Louisiana, licensed in Louisiana (321362) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2017).

NPPES Registry Identity

NPI1376084616

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TAREK BALAMANECredential: M.D.

Location Address4228 HOUMA BLVD, STE 200Metairie, LA 70006-3000

Mailing Address2108 Caswell LnMetairie, LA 70001-1760 · (504) 487-0479

Phone(504) 454-7878

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2017

Enumeration DateMarch 20, 2017

Last NPPES UpdateMay 2, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1376084616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 321362

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4228 HOUMA BLVD, Metairie, LA 70006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tarek Balamane 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 ID5193089928

PECOS Enrollment IDI20200917002477

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.

Areas of Expertise CMS Part B claims

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.

230 services178 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190079

Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County

Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190274

Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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

$86.76 typical visit price

range $55.50 – $170.30

Typical copayment $21.69 (range $13.87 – $42.57)

Most-billed visit code 99203

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

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.

JACOB GENERAL SURGERY, LLC

Surgery

4228 HOUMA BLVD, SUITE 220
METAIRIE, LA 70006

Jefferson Parish (504) 264-9353

GARRETT WAX AGACNP-BC

Nurse Practitioner (Acute Care)

4228 HOUMA BLVD
METAIRIE, LA 70006

Jefferson Parish (504) 454-2222

BENNIE PETER NOBLES JR. MD

Obstetrics & Gynecology

4228 HOUMA BLVD, STE 410
METAIRIE, LA 70006

Jefferson Parish (504) 883-3770

MRS. DENISE CHATELAIN CRAWFORD R.N.F.A.

Registered Nurse (Registered Nurse First Assistant)

4228 HOUMA BLVD, SUITE 510
METAIRIE, LA 70006

Jefferson Parish (504) 454-0141

DR. THORKELL EINARSSON MD

Student in an Organized Health Care Education/Training Program

4228 HOUMA BLVD
METAIRIE, LA 70006

Jefferson Parish (504) 454-7878

DR. JOHN F NITSCHE M.D.

Internal Medicine (Rheumatology)

4228 HOUMA BLVD, SUITE 600B
METAIRIE, LA 70006

Jefferson Parish (504) 454-2191

R. DANIEL JACOB, M.D.,A.P.M.C.

Otolaryngology

4228 HOUMA BLVD, SUITE 340
METAIRIE, LA 70006

Jefferson Parish (504) 454-3611

DR. RICHARD EDWARD BRIDGES M.D.

Family Medicine

4228 HOUMA BLVD, STE 200
METAIRIE, LA 70006

Jefferson Parish (504) 454-7878

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 Tarek Balamane's NPI number?

The NPI number for Tarek Balamane is 1376084616. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Tarek Balamane located?

Tarek Balamane practices at 4228 Houma Blvd Ste 200, Metairie, LA 70006. The listed phone number is (504) 454-7878.

What is Tarek Balamane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tarek Balamane enrolled in Medicare?

Yes. Tarek Balamane 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.

What insurance does Tarek Balamane accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Tarek Balamane 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 Tarek Balamane affiliated with any hospitals?

According to CMS data, Tarek Balamane is affiliated with Ochsner Medical Center Acute, St Charles Parish Hospital and Ochsner Medical Center-Kenner.

When was this NPI record last updated?

The NPPES record for Tarek Balamane was last updated on May 2, 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.