RICHARD B BALABAN M.D.
NPI 1780793281
Internal Medicine in Somerville, MA
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
Specialties & Licenses
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Balaban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 clinicians in this Medicare group
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 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.
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, MAPhysician 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.
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.
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 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.
Where is Richard Balaban located?
Richard Balaban practices at 236 Highland Ave, Somerville, MA 02143. The listed phone number is (617) 591-6300.
What is Richard Balaban's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Richard Balaban enrolled in Medicare?
Yes. Richard Balaban 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 Richard Balaban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Balaban reassigns Medicare benefits to Cambridge Public Health Commission (Cambridge, MA). 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 Richard Balaban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Balaban accept?
Health plans from Taro Health list Richard Balaban 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 Richard Balaban affiliated with any hospitals?
According to CMS data, Richard Balaban is affiliated with Cambridge Health Alliance.
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.
# Richard B Balaban, M.D. · NPI 1780793281
Internal Medicine physician in Somerville, Massachusetts. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1780793281 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 150331 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 236 HIGHLAND AVE, Somerville, MA 02143-1495
- **Phone:** (617) 591-6300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cambridge Public Health Commission (NPI 1932313228, Cambridge, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** December 14, 2011
- **Other identifiers:** Medicare PIN MX9534 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780793281) · Data from the CMS NPPES public registry.