STEVEN RICHARD BIALKIN M.D.
NPI 1497757769
Internal Medicine - Nephrology in Baton Rouge, LA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816(225) 754-3278(225) 754-3277 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2021, Nov 5, 2020 (2 updates tracked since 2020).

About Steven Richard Bialkin M.d. NPPES

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

STEVEN RICHARD BIALKIN M.D. (NPI 1497757769) is an individual nephrology provider in Baton Rouge, Louisiana, licensed in Washington (MD60647892) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497757769
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSTEVEN RICHARD BIALKINCredential: M.D.
Location Address16777 MEDICAL CENTER DRBaton Rouge, LA 70816-3254
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000 · Fax (504) 842-6997
Fax(225) 754-3277
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1497757769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in WA · MD60647892✔ Licensed in NC · 200300560✔ Licensed in FL · ME 98573✔ Licensed in LA · 326142✔ Licensed in OR · MD198026
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
16777 MEDICAL CENTER DR, Baton Rouge, LA 70816

Secondary Practice Locations 2

Location 13615 NW Samaritan Dr Ste 203Corvallis, OR 97330-3771 · Phone (541) 768-6930
Location 21415 E Kincaid StMount Vernon, WA 98274-4126 · Phone (360) 424-4111

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

Steven Richard Bialkin 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 ID3971600743
PECOS Enrollment IDI20071009000067, I20160608001755, I20260603003472
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

11

Medicare enrollment records show Steven Bialkin reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
General Practice
16777 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
Long Term Care Hospital
1500 LEE BLVD FL 3
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Nchmd Inc
  • 808 clinicians in this Medicare group
Clinic/Center
1229 NW 40TH AVE
Lauderhill, FL 33313
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
General Practice
18425 NW 2ND AVE 5TH FLOOR PH 7
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
Urgent Care
18405 NW 2ND AVE STE B
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
Medical Oncology
1209 SE INDUSTRY DR
Oxford, NC 27565
  • Reassigned Medicare billing, North Carolina enrollment
  • 178 clinicians in this Medicare group
Nephrology
629 N. HIGHWAY #90 BYP, SUITE 6
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 117 clinicians in this Medicare group
Family Medicine
110 PLAZA LN
Wellsboro, PA 16901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
Family Medicine
1221 HIGHLAND AVE
Clarkston, WA 99403
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1598814352 (Washington)
  • 144 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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
425 services273 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
258 services104 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
99 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number501332
Location1221 Highland AvenueClarkston, WA 99403 · Asotin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70816 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Internal Medicine
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Midwife
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Pharmacy Technician
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
Pharmacy (Clinic Pharmacy)
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Registered Nurse
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
Registered Nurse (Diabetes Educator)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816

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 Steven Bialkin's NPI number?

The NPI number for Steven Bialkin is 1497757769. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Steven Bialkin located?

Steven Bialkin practices at 16777 Medical Center Dr, Baton Rouge, LA 70816. The listed phone number is (225) 754-3278.

What is Steven Bialkin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Steven Bialkin enrolled in Medicare?

Yes. Steven Bialkin 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 Steven Bialkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Bialkin reassigns Medicare benefits to 11 organizations: Ochsner Clinic LLC (Baton Rouge, LA), Landmark Hospital Of Southwest Florida, LLC (Lehigh Acres, FL), Alive And Well Community Partners Broward LLC (Lauderhill, FL), Alive And Well Community Partners LLC (Miami Gardens, FL), Alive And Well Community Urgent Care LLC (Miami Gardens, FL) and 6 more organizations, 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 Steven Bialkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Bialkin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Avera Health Plans, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of NC and 9 other insurers list Steven Bialkin 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 Steven Bialkin affiliated with any hospitals?

According to CMS data, Steven Bialkin is affiliated with Naples Community Hospital, St Marys Hospital And Clinics, Maria Parham Medical Center, Skagit Valley Hospital and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Steven Bialkin was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.