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DR. MENGISTU GURMU BALCHA MD
NPI 1447131636
Internal Medicine in Tacoma, WA

Active since September 12, 2025PECOS EnrolledAccepts Medicare Assignment
917 PACIFIC AVE STE 600, TACOMA, WA 98402(253) 232-7495 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mengistu Gurmu Balcha Md NPPES

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

DR. MENGISTU GURMU BALCHA MD (NPI 1447131636) is an individual internal medicine provider in Tacoma, Washington, licensed in Washington (ML70047995) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1447131636
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MENGISTU GURMU BALCHACredential: MD
Location Address917 PACIFIC AVE STE 600Tacoma, WA 98402-4437
Mailing Address5264 Island Chain RdLas Vegas, NV 89118-1364 · (725) 294-6931
Phone(253) 232-7495
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1447131636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · ML70047995
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
917 PACIFIC AVE STE 600, Tacoma, WA 98402
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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

Dr. Mengistu Gurmu Balcha Md 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 ID5698261691
PECOS Enrollment IDI20251229003983
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

2

Medicare enrollment records show Mengistu Balcha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Platinum Peaks Healthcare PC
2.6 mi
Geriatric Medicine
3020 S UNION AVE
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 55 clinicians in this Medicare group
NPI 1821982893 (253) 844-4327
Pacific Medical Specialty Group
49 mi
Internal Medicine
1117 W YOUNG ST
Elma, WA 98541
  • Reassigned Medicare billing, Washington enrollment
  • 64 clinicians in this Medicare group
NPI 1548911811 (253) 844-4327

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 98402 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

SANA MOHAMED NOOR MOHAMED ALI
General Practice
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 844-4327
DR. MESFIN GEBREEGZIABHER DESTA
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 844-4327
MULUSEW TIBEBU GOSHE MD
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 844-4327
HARLEEN MANN MD
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 232-7495
HUSSAIN GUL MD
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 232-7495
PACIFIC MEDICAL DIALYSIS SERVICES
Internal Medicine (Nephrology)
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 310-2236
MICHAEL BETEMARIAM
General Practice
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 844-4327
CHARLY ANN CAPPS FNP
Student in an Organized Health Care Education/Training Program
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Pierce County (253) 844-4327

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 Mengistu Balcha's NPI number?

The NPI number for Mengistu Balcha is 1447131636. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Mengistu Balcha located?

Mengistu Balcha practices at 917 Pacific Ave Ste 600, Tacoma, WA 98402. The listed phone number is (253) 232-7495.

What is Mengistu Balcha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mengistu Balcha enrolled in Medicare?

Yes. Mengistu Balcha 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 organizations bill Medicare for Mengistu Balcha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mengistu Balcha reassigns Medicare benefits to 2 organizations: Platinum Peaks Healthcare PC (Tacoma, WA) and Pacific Medical Specialty Group (Elma, WA). Each 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 Mengistu Balcha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mengistu Balcha was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.