1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Medical Genetics
  6. NPI Profile

DR. DOUGLAS JAMES BALL MD
NPI 1730381625
Medical Genetics - Clinical Genetics (M.D.) in Salt Lake City, UT

Active since June 03, 2007PECOS EnrolledAccepts Medicare Assignment
VA SALT LAKE CITY HEALTH CARE SYSTEM 10P11, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas James Ball Md NPPES

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

DR. DOUGLAS JAMES BALL MD (NPI 1730381625) is an individual clinical genetics (m.d.) provider in Salt Lake City, Utah, licensed in Utah (9662062-1205) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1730381625
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. DOUGLAS JAMES BALLCredential: MD
Location AddressVA SALT LAKE CITY HEALTH CARE SYSTEM 10P11Salt Lake City, UT 84148
Mailing AddressVa Salt Lake City Health Care System, 10p11Salt Lake City, UT 84148 · (801) 582-1565
Phone(801) 582-1565
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1995
Enumeration DateJune 3, 2007
Last NPPES UpdateJune 11, 2018
✔ NPI 1730381625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in UT · 9662062-1205
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
VA SALT LAKE CITY HEALTH CARE SYSTEM 10P11, Salt Lake City, UT 84148
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Dr. Douglas James Ball 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.

PECOS PAC ID4183939283
PECOS Enrollment IDI20160227000038
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 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
39 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

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 Douglas Ball's NPI number?

The NPI number for Douglas Ball is 1730381625. It was assigned to this individual provider in the NPPES registry on June 3, 2007.

Where is Douglas Ball located?

Douglas Ball practices at VA Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Douglas Ball's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Douglas Ball enrolled in Medicare?

Yes. Douglas Ball 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.

What insurance does Douglas Ball accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Douglas Ball 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 Douglas Ball was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.