1. Home
  2. Directory
  3. Pennsylvania
  4. Bala Cynwyd
  5. Clinic Center
  6. NPI Profile

BALA ASC
NPI 1467003038
Clinic/Center - Ambulatory Surgical in Bala Cynwyd, PA

Active since September 25, 2019CLIA 39D2298839 · Waiver
1 PRESIDENTIAL BLVD STE 100, BALA CYNWYD, PA 19004(610) 667-3020(610) 667-1817 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2022, Sep 25, 2019 (2 updates tracked since 2019).

About Bala Asc NPPES

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

BALA ASC (NPI 1467003038) is a healthcare organization registered as an ambulatory surgical in Bala Cynwyd, Pennsylvania and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Sara Dugan, Manager, as its authorized official.

NPPES Registry Identity

NPI1467003038
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBALA ASC
Location Address1 PRESIDENTIAL BLVD STE 100Bala Cynwyd, PA 19004-1015
Mailing Address1 Presidential Blvd Ste 100Bala Cynwyd, PA 19004-1015 · (610) 667-3020 · Fax (610) 667-1817
Phone(610) 667-3020
Fax(610) 667-1817
Organization SubpartNo
Authorized OfficialSara DuganManager · (610) 667-3020
Enumeration DateSeptember 25, 2019
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1467003038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1 PRESIDENTIAL BLVD STE 100, Bala Cynwyd, PA 19004
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bala Asc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bala ASC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Laurence Belkoff, D.O.
Urology
NPI 1689679938
1 PRESIDENTIAL BLVD STE 100
Bala Cynwyd, PA 19004
(610) 667-3020
✔ PECOS✔ Accepts Medicare0.8 mi
Jeffrey Walker, M.D.
Urology
NPI 1508250549
1 PRESIDENTIAL BLVD STE 100
Bala Cynwyd, PA 19004
(610) 667-3020
✔ PECOS✔ Accepts Medicare0.8 mi
Noah May, D.O.
Urology
NPI 1851596035
5501 OLD YORK RD
Philadelphia, PA 19141
(215) 456-1177
✔ PECOS✔ Accepts Medicare4.7 mi
Teodora Schellato, D.O
Urology
NPI 1184839698
7604 CENTRAL AVE SUITE 104
Philadelphia, PA 19111
(215) 745-4130
✔ PECOS✔ Accepts Medicare8.2 mi
Richard Harkaway, M.D.
Urology
NPI 1700863529
9880 BUSTLETON AVE SUITE 311
Phila, PA 19115
(215) 677-0667
✔ PECOS✔ Accepts Medicare12 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2298839

Bala ASC, LLC · Bala Cynwyd, PA
Active · expires Feb 8, 2028
CLIA Number39D2298839
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Laurence H. Belkoff
Laboratory Phone(610) 667-3020
Laboratory LocationBala ASC, LLC1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
15 services14 patients

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 Bala ASC's NPI number?

The NPI number for Bala ASC is 1467003038. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Bala ASC located?

Bala ASC is located at 1 Presidential Blvd Ste 100, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-3020.

What is Bala ASC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Bala ASC enrolled in Medicare?

Yes. Bala ASC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bala ASC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Urology, reassign their Medicare billing to Bala ASC. A 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 the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bala ASC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2298839) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bala ASC was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.