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DENNIS TERRANCE BALOUGH PA-C
NPI 1508200452
Physician Assistant - Surgical in Carmichael, CA

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
6403 COYLE AVE STE 170, CARMICHAEL, CA 95608(916) 965-4000(916) 965-4813 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dennis Terrance Balough Pa-c NPPES

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

DENNIS TERRANCE BALOUGH PA-C (NPI 1508200452) is an individual surgical provider in Carmichael, California, licensed in California (PA22836) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1508200452
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDENNIS TERRANCE BALOUGHCredential: PA-C
Location Address6403 COYLE AVE STE 170Carmichael, CA 95608-0363
Mailing Address6403 Coyle Ave Ste 170Carmichael, CA 95608-0363 · (916) 965-4000 · Fax (916) 965-4813
Phone(916) 965-4000
Fax(916) 965-4813
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 22, 2013
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1508200452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA22836
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA22836 (CA)
6403 COYLE AVE STE 170, Carmichael, CA 95608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dennis Terrance Balough Pa-c 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 ID1153545041
PECOS Enrollment IDI20140616001834
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL M SASAURA MD
Orthopaedic Surgery
6403 COYLE AVE STE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
DR. SCOTT KOJI FUJII M.D.
Orthopaedic Surgery (Sports Medicine)
6403 COYLE AVE STE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
ERIN B AUDRAIN P.A.
Physician Assistant (Surgical)
6403 COYLE AVE STE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
DR. AMY DUCKWORTH D.P.M.
Podiatrist (Foot & Ankle Surgery)
6403 COYLE AVE STE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
DR. ROBERT L CAMETO MD
Orthopaedic Surgery
6403 COYLE AVE STE 170
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000

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 Dennis Balough's NPI number?

The NPI number for Dennis Balough is 1508200452. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Dennis Balough located?

Dennis Balough practices at 6403 Coyle Ave Ste 170, Carmichael, CA 95608. The listed phone number is (916) 965-4000.

What is Dennis Balough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dennis Balough enrolled in Medicare?

Yes. Dennis Balough 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.

When was this NPI record last updated?

The NPPES record for Dennis Balough was last updated on January 3, 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.