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YASLAM BALFAQIH MD
NPI 1730532763
Pediatrics - Sleep Medicine in Dayton, OH

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 640-4500 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2025, Aug 12, 2024, Jul 30, 2024 and 3 more (6 updates tracked since 2016).

About Yaslam Balfaqih Md NPPES

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

YASLAM BALFAQIH MD (NPI 1730532763) is an individual sleep medicine provider in Dayton, Ohio, licensed in Ohio (35.150484) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miamisburg, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1730532763
Entity TypeIndividualMale
Primary Taxonomy2080S0012X
Provider Legal NameYASLAM BALFAQIHCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1873
Mailing AddressPo Box 933432Cleveland, OH 44193-0039
Phone(937) 641-4000
Fax(937) 640-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 14, 2016
Last NPPES UpdateMarch 12, 20256 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1730532763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0012X
Licenses✔ Licensed in OH · 35.150484✔ Licensed in MO · 2023011345
Definition
A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
1 CHILDRENS PLZ, Dayton, OH 45404
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Secondary Practice Location 1

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-4000 · Fax (937) 641-4500

Other Identifiers 1

Medicaid0055796OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, UnitedHealthcare.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

Yaslam Balfaqih 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 ID8628509387
PECOS Enrollment IDI20241004001826
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 Reassignment

Medicare enrollment records show Yaslam Balfaqih reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Children's Specialty Physicians, Inc.
Same address
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

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 45404 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600

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 Yaslam Balfaqih's NPI number?

The NPI number for Yaslam Balfaqih is 1730532763. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Yaslam Balfaqih located?

Yaslam Balfaqih practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-4000.

What is Yaslam Balfaqih's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Is Yaslam Balfaqih enrolled in Medicare?

Yes. Yaslam Balfaqih 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 Yaslam Balfaqih's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaslam Balfaqih reassigns Medicare benefits to Dayton Children's Specialty Physicians, Inc. (Dayton, OH). 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 Yaslam Balfaqih's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yaslam Balfaqih accept?

Health plans from MedMutual and UnitedHealthcare list Yaslam Balfaqih 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 Yaslam Balfaqih was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.