ATUL N BALWALLY MD
NPI 1760461073
Otolaryngology in Dayton, OH

Q: What is Atul Balwally's NPI number?

The NPI number for Atul Balwally is 1760461073. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Atul Balwally's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Atul Balwally was last updated on January 15, 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.

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment

91.65/100

CMS Quality Rating

1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402(937) 496-2600(937) 496-2610 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Atul N Balwally Md NPPES

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

ATUL N BALWALLY MD (NPI 1760461073) is an individual otolaryngology provider in Dayton, Ohio, licensed in Ohio (35070075) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1988).

NPPES Registry Identity

NPI1760461073

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameATUL N BALWALLYCredential: MD

Location Address1222 S PATTERSON BLVD, SUITE 400Dayton, OH 45402-2684

Mailing Address1222 S Patterson Blvd, Suite 400Dayton, OH 45402-2684 · (937) 496-2600 · Fax (937) 496-2610

Phone(937) 496-2600

Fax(937) 496-2610

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1988

Enumeration DateJanuary 13, 2006

Last NPPES UpdateJanuary 15, 2013

✔ NPI 1760461073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in OH · 35070075

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1222 S PATTERSON BLVD, Dayton, OH 45402

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Other Identifiers 9

Other000000209357Anthem

Other1000362United Health Care

Other040016607Medicare Railroad

Medicare PINBA0804432OH

Other1000362Medicare Complete

Other2597293Aetna

Other0254148Bcmh

Medicare UPING28032

Other0254148Ohio Dept Of Health & Hum

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Atul N Balwally 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 ID9133140635

PECOS Enrollment IDI20080626000515

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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

700 services521 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

225 services132 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

192 services192 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

165 services164 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

95 services86 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

48 services40 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

30 services27 patients

Analysis of voice and resonance production 92524

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

25 services24 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

21 services19 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services21 patients

Repositioning exercises of head for treatment of dizziness, each day 95992

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

20 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45402 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

91.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

MS. AUDREY ELIZABETH WALSTROM M.A., D.M.A.

Speech-Language Pathologist

1222 S PATTERSON BLVD
DAYTON, OH 45402

Montgomery County (937) 496-2622

DR. CATHERINE L LANZER AU.D.

Audiologist

1222 S PATTERSON BLVD, SUITE 400
DAYTON, OH 45402

Montgomery County (937) 496-2600

KATELYN JEAN BOOHER D.O.

Internal Medicine (Infectious Disease)

1222 S PATTERSON BLVD, STE 220
DAYTON, OH 45402

Montgomery County (937) 223-5350

MRS. JENNIFER RUTH FITZPATRICK FNP-BC

Nurse Practitioner (Family)

1222 S PATTERSON BLVD, STE 400
DAYTON, OH 45402

Montgomery County (937) 496-2620

ANGELA CAMPANELLI

Speech-Language Pathologist

1222 S PATTERSON BLVD
DAYTON, OH 45402

Montgomery County (937) 496-2600

DR. MICHAEL SMITH M.D.

Hospitalist

1222 S PATTERSON BLVD, STE 220
DAYTON, OH 45402

Montgomery County (937) 223-5350

FELICIA BOUBIN AUD

Audiologist

1222 S PATTERSON BLVD, STE 400
DAYTON, OH 45402

Montgomery County (937) 496-2620

DR. DEAN A. BRICKER MD

Internal Medicine

1222 S PATTERSON BLVD, SUITE 230
DAYTON, OH 45402

Montgomery County (937) 223-5350

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 Atul Balwally's NPI number?

The NPI number for Atul Balwally is 1760461073. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Atul Balwally located?

Atul Balwally practices at 1222 S Patterson Blvd Suite 400, Dayton, OH 45402. The listed phone number is (937) 496-2600.

What is Atul Balwally's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Atul Balwally enrolled in Medicare?

Yes. Atul Balwally 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 Atul Balwally accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Atul Balwally 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.

Is Atul Balwally affiliated with any hospitals?

According to CMS data, Atul Balwally is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton, Upper Valley Medical Center and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Balwally was last updated on January 15, 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.