KAREN R BALLABAN-GIL MD
NPI 1508941816
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Bronx, NY

Active since October 26, 2006PECOS Enrolled
100/100
CMS Quality Rating
MMC - DEPT. OF NEUROLOGY, 1515 BLONDELL AVENUE, STE. 220, BRONX, NY 10461(718) 405-8140 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen R Ballaban-gil Md NPPES

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

KAREN R BALLABAN-GIL MD (NPI 1508941816) is an individual neurology with special qualifications in child neurology provider in Bronx, New York, licensed in New York (178549) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Albany Medical College Of Union University (1986).

NPPES Registry Identity

NPI1508941816
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameKAREN R BALLABAN-GILCredential: MD
Location AddressMMC - DEPT. OF NEUROLOGY, 1515 BLONDELL AVENUE, STE. 220Bronx, NY 10461
Mailing Address10 BeachwayPort Washington, NY 11050-3408 · (718) 405-8140 · Fax (718) 405-8149
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1986
Enumeration DateOctober 26, 2006
Last NPPES UpdateFebruary 8, 2025
NPPES CertifiedFebruary 8, 2025
NPI 1508941816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in NY · 178549
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 178549 (NY)
MMC - DEPT. OF NEUROLOGY, Bronx, NY 10461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Karen R Ballaban-gil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385725647
PECOS Enrollment IDI20080114000188
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.

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.

Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Neurology)
MMC - DEPT. OF NEUROLOGY, 1515 BLONDELL AVENUE, STE. 220
BRONX, NY 10461
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
MMC - DEPT. OF NEUROLOGY, 1515 BLONDELL AVENUE, STE. 220
BRONX, NY 10461
Psychiatry & Neurology (Neurology)
MMC - DEPT. OF NEUROLOGY, 1515 BLONDELL AVENUE, STE. 220
BRONX, NY 10461

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 Karen Ballaban-gil's NPI number?

The NPI number for Karen Ballaban-gil is 1508941816. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Karen Ballaban-gil located?

Karen Ballaban-gil practices at Mmc - Dept. Of Neurology 1515 Blondell Avenue, Ste. 220, Bronx, NY 10461. The listed phone number is (718) 405-8140.

What is Karen Ballaban-gil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Karen Ballaban-gil enrolled in Medicare?

Yes. Karen Ballaban-gil is registered in the Medicare PECOS enrollment system.

Is Karen Ballaban-gil affiliated with any hospitals?

According to CMS data, Karen Ballaban-gil is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Ballaban-gil was last updated on February 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.