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MR. ISAM Y BALAT M.D.
NPI 1417914037
Obstetrics & Gynecology in Houston, TX

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
1801 BINZ STREET, SUITE 500, HOUSTON, TX 77004(713) 522-3333(713) 522-4434 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Isam Y Balat M.d. NPPES

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

MR. ISAM Y BALAT M.D. (NPI 1417914037) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (E0795) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Texas Medical School At Houston (1976).

NPPES Registry Identity

NPI1417914037
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. ISAM Y BALATCredential: M.D.
Location Address1801 BINZ STREET, SUITE 500Houston, TX 77004
Mailing Address1801 Binz Street, Suite 500Houston, TX 77004 · (713) 522-3333 · Fax (713) 522-4434
Phone(713) 522-3333
Fax(713) 522-4434
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1976
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1417914037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · E0795
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1801 BINZ STREET, Houston, TX 77004
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Other Identifiers 3

Medicare OSCAR/certification8108J0TX
Medicare UPINB21066TX
Medicaid099657101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. Isam Y Balat 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 ID3375543408
PECOS Enrollment IDI20100826001170
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 Isam Balat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Plaza Ob-Gyn Associates
Same address
Obstetrics & Gynecology
1801 BINZ STREET, SUITE 500
Houston, TX 77004
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1740384908 (713) 522-3333

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 3

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 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.
52 services38 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
27 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Womans Hospital Of Texas,the

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450674
Location7600 FanninHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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

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

PLAZA OB-GYN ASSOCIATES
Obstetrics & Gynecology
1801 BINZ STREET, SUITE 500
HOUSTON, TX 77004
Harris County (713) 522-3333

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 Isam Balat's NPI number?

The NPI number for Isam Balat is 1417914037. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Isam Balat located?

Isam Balat practices at 1801 Binz Street Suite 500, Houston, TX 77004. The listed phone number is (713) 522-3333.

What is Isam Balat's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Isam Balat enrolled in Medicare?

Yes. Isam Balat 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 Isam Balat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isam Balat reassigns Medicare benefits to Plaza Ob-Gyn Associates (Houston, TX). 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 Isam Balat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Isam Balat accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Isam Balat 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 Isam Balat affiliated with any hospitals?

According to CMS data, Isam Balat is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Houston Methodist Hospital, Memorial Hermann Memorial City Hospital and Womans Hospital Of Texas,the.

When was this NPI record last updated?

The NPPES record for Isam Balat was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.