RICHARD B BALABAN M.D.
NPI 1780793281
Internal Medicine in Somerville, MA

Q: What is Richard Balaban's NPI number?

The NPI number for Richard Balaban is 1780793281. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Richard Balaban's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Balaban was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 29, 2006PECOS EnrolledAccepts Medicare Assignment

236 HIGHLAND AVE, SOMERVILLE, MA 02143(617) 591-6300 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Richard B Balaban M.d. NPPES

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

RICHARD B BALABAN M.D. (NPI 1780793281) is an individual internal medicine provider in Somerville, Massachusetts, licensed in Massachusetts (150331) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of George Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1780793281

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRICHARD B BALABANCredential: M.D.

Location Address236 HIGHLAND AVESomerville, MA 02143-1495

Mailing Address236 Highland AveSomerville, MA 02143-1495 · (617) 591-6300

Phone(617) 591-6300

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1994

Enumeration DateAugust 29, 2006

Last NPPES UpdateDecember 14, 2011

✔ NPI 1780793281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 150331

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

236 HIGHLAND AVE, Somerville, MA 02143

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Other Identifiers 1

Medicare PINMX9534MA

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

Richard B Balaban M.d. 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 ID5294766275

PECOS Enrollment IDI20050830000276

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 3

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.

31 services22 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

26 services18 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.

17 services11 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number220011

Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

RENEE CHRISTINE JOHNSON RN

Registered Nurse