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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: October 18, 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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Ball reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services
0.8 mi
Pediatric Allergy/Immunology
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1023472594 (801) 587-6336
University Of Utah Specialty Services
0.9 mi
Obstetrics & Gynecology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 163 clinicians in this Medicare group
NPI 1053715110 (801) 581-2121
Tanner Memorial Clinic
7.8 mi
Allergy
5296 S COMMERCE DR
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 270 clinicians in this Medicare group
NPI 1104356013 (801) 773-4840

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 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.

Which organizations bill Medicare for Douglas Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Ball reassigns Medicare benefits to 3 organizations: University Of Utah Pediatric Services (Salt Lake City, UT), University Of Utah Specialty Services (Salt Lake City, UT) and Tanner Memorial Clinic (Murray, UT). 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 Douglas Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Ball accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 4 other insurers 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.