PINAR GUMUS BALIKCIOGLU MD
NPI 1619269537
Pediatrics - Pediatric Endocrinology in Durham, NC
About Pinar Gumus Balikcioglu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINAR GUMUS BALIKCIOGLU MD (NPI 1619269537) is an individual pediatric endocrinology provider in Durham, North Carolina, licensed in North Carolina (2012-02290) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 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
Pinar Gumus Balikcioglu 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 Reassignment
Medicare enrollment records show Pinar Gumus Balikcioglu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DURHAM, NC 27705
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 Pinar Gumus Balikcioglu's NPI number?
The NPI number for Pinar Gumus Balikcioglu is 1619269537. It was assigned to this individual provider in the NPPES registry on May 11, 2011. The provider is also known as Pinar Gumus MD.
Where is Pinar Gumus Balikcioglu located?
Pinar Gumus Balikcioglu practices at 2100 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.
What is Pinar Gumus Balikcioglu's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Pinar Gumus Balikcioglu enrolled in Medicare?
Yes. Pinar Gumus Balikcioglu 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 organization bills Medicare for Pinar Gumus Balikcioglu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pinar Gumus Balikcioglu reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The 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 Pinar Gumus Balikcioglu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pinar Gumus Balikcioglu accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Pinar Gumus Balikcioglu 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.
When was this NPI record last updated?
The NPPES record for Pinar Gumus Balikcioglu was last updated on November 6, 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.
# Pinar Gumus Balikcioglu, MD · NPI 1619269537
Pediatric Endocrinology physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since May 11, 2011.
## Identity
- **NPI:** 1619269537 (Entity type: Individual)
- **Enumerated:** May 11, 2011
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** 2012-02290 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 ERWIN RD, Durham, NC 27705-3941
- **Phone:** (919) 684-8111
## 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:** Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** November 6, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1619269537) · Data from the CMS NPPES public registry.