INNER BALANCE INTEGRATIVE MEDICINE, LLC
NPI 1487917993
Internal Medicine in Wellesley, MA
About Inner Balance Integrative Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNER BALANCE INTEGRATIVE MEDICINE, LLC (NPI 1487917993) is a healthcare organization registered as an internal medicine in Wellesley, Massachusetts and active in the NPI registry since June 2012. The organization lists John Bordiuk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Inner Balance Integrative Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Inner Balance Integrative Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 22D2048592
Inner Balance Integrative Medicine · Wellesley, MAFrequently 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 Inner Balance Integrative Medicine, LLC's NPI number?
The NPI number for Inner Balance Integrative Medicine, LLC is 1487917993. It was assigned to this organization in the NPPES registry on June 19, 2012.
Where is Inner Balance Integrative Medicine, LLC located?
Inner Balance Integrative Medicine, LLC is located at 65 Walnut St Suite 380, Wellesley, MA 02481. The listed phone number is (781) 239-9900.
What is Inner Balance Integrative Medicine, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Inner Balance Integrative Medicine, LLC enrolled in Medicare?
Yes. Inner Balance Integrative Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Inner Balance Integrative Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Inner Balance Integrative Medicine, LLC, in Internal Medicine and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Inner Balance Integrative Medicine, LLC was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Inner Balance Integrative Medicine, Llc · NPI 1487917993
Internal Medicine organization in Wellesley, Massachusetts. Organization record, active in the CMS NPPES registry since June 19, 2012.
## Identity
- **NPI:** 1487917993 (Entity type: Organization)
- **Enumerated:** June 19, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** John Bordiuk, OWNER
## Practice location
- **Address:** 65 WALNUT ST, SUITE 380, Wellesley, MA 02481-2118
- **Phone:** (781) 239-9900 · **Fax:** (781) 239-9953
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2013
- **Other identifiers:** Medicare PIN A2097601 (MA); Other 22D2048592 (MA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1487917993) · Data from the CMS NPPES public registry.