MICHAEL SAMUEL BALKIN MD
NPI 1487017000
Emergency Medicine in Conshohocken, PA
About Michael Samuel Balkin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL SAMUEL BALKIN MD (NPI 1487017000) is an individual emergency medicine provider in Conshohocken, Pennsylvania, licensed in Pennsylvania (MD485255) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and maintains a secondary practice location in Broomall.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Michael Samuel Balkin 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.
Medicare Billing Reassignments
6Medicare enrollment records show Michael Balkin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Frisco, TX 75033
- Reassigned Medicare billing, Texas enrollment
- 90 clinicians in this Medicare group
Frisco, TX 75033
- Reassigned Medicare billing, Texas enrollment
- 89 clinicians in this Medicare group
Fort Worth, TX 76112
- Reassigned Medicare billing, Texas enrollment
- 231 clinicians in this Medicare group
Fort Worth, TX 76112
- Reassigned Medicare billing, Texas enrollment
- 545 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Main Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michael Balkin's NPI number?
The NPI number for Michael Balkin is 1487017000. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Michael Balkin located?
Michael Balkin practices at 48 E Ridge Pike Ste A, Conshohocken, PA 19428. The listed phone number is (484) 243-6735.
What is Michael Balkin's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Balkin enrolled in Medicare?
Yes. Michael Balkin 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 Michael Balkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Balkin reassigns Medicare benefits to 6 organizations: Main Line Healthcare (Newtown Square, PA), The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX), El Dorado Urgent Care, PLLC (Frisco, TX), Woodbridge Physicians Staffing Group, PLLC (Frisco, TX), Texas Physician Resources, LLP (Fort Worth, TX) and 1 more organization, listed in the Medicare section above. 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 Michael Balkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Balkin accept?
Health plans from Blue Cross and Blue Shield of Texas list Michael Balkin 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 Michael Balkin affiliated with any hospitals?
According to CMS data, Michael Balkin is affiliated with Main Line Hospital Lankenau.
When was this NPI record last updated?
The NPPES record for Michael Balkin was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michael Samuel Balkin, MD · NPI 1487017000
Emergency Medicine physician in Conshohocken, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1487017000 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD485255 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 48 E RIDGE PIKE STE A, Conshohocken, PA 19428-2117
- **Phone:** (484) 243-6735
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Main Line Healthcare (NPI 1922077643, Newtown Square, PA); The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX); El Dorado Urgent Care, PLLC (NPI 1154799328, Frisco, TX); Woodbridge Physicians Staffing Group, PLLC (NPI 1750777322, Frisco, TX); Texas Physician Resources, LLP (NPI 1639413289, Fort Worth, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487017000) · Data from the CMS NPPES public registry.