ROBERT JAY BALKAN M.D.
NPI 1790725737
Ophthalmology in New Orleans, LA

Q: What is Robert Balkan's NPI number?

The NPI number for Robert Balkan is 1790725737. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Robert Balkan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Balkan was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 07, 2006PECOS EnrolledAccepts Medicare Assignment

3434 PRYTANIA ST, SUITE 250, NEW ORLEANS, LA 70115(504) 891-1988(504) 899-1895 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert Jay Balkan M.d. NPPES

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

ROBERT JAY BALKAN M.D. (NPI 1790725737) is an individual ophthalmology provider in New Orleans, Louisiana, licensed in Louisiana (15443) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1979).

NPPES Registry Identity

NPI1790725737

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameROBERT JAY BALKANCredential: M.D.

Location Address3434 PRYTANIA ST, SUITE 250New Orleans, LA 70115-3532

Mailing Address3434 Prytania St, Suite 250New Orleans, LA 70115-3532 · (504) 891-1988 · Fax (504) 899-1895

Phone(504) 891-1988

Fax(504) 899-1895

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1979

Enumeration DateJune 7, 2006

Last NPPES UpdateMarch 17, 2015

✔ NPI 1790725737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in LA · 15443

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3434 PRYTANIA ST, New Orleans, LA 70115

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Other Identifiers 3

Medicaid1307271LA

OtherCI2603LA · Railroad Medicare

Medicare UPINB61692LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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

Robert Jay Balkan 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 ID4385825439

PECOS Enrollment IDI20110816000122

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

76 services70 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

29 services23 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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

$128.88 typical visit price

range $55.50 – $170.30

Typical copayment $32.22 (range $13.87 – $42.57)

Most-billed visit code 99204

Established Patient

$69.44 typical visit price

range $17.42 – $138.03

Typical copayment $17.36 (range $4.35 – $34.50)

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.

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.

DR. REBECCA U PERRET M.D.

Obstetrics & Gynecology

3434 PRYTANIA ST, SUITE 130
NEW ORLEANS, LA 70115

Orleans Parish (504) 897-7676

DR. LOUIS PAUL DUTREIL M.D.

Obstetrics & Gynecology

3434 PRYTANIA ST, SUITE 130
NEW ORLEANS, LA 70115

Orleans Parish (504) 897-7676

DR. ARNOLD LUPIN MD

Internal Medicine

3434 PRYTANIA ST, 110
NEW ORLEANS, LA 70115

Orleans Parish (504) 897-7007

DR. JAMES ROBERT PATTERSON M.D.

Preventive Medicine (Occupational Medicine)

3434 PRYTANIA ST, SUITE 105
NEW ORLEANS, LA 70115

Orleans Parish (504) 897-8147

NEW ORLEANS NEURO-RADIOSURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

3434 PRYTANIA ST, SUITE 120
NEW ORLEANS, LA 70115

Orleans Parish (504) 891-2173

DR. GEORGE RIVES CARY MD

Orthopaedic Surgery

3434 PRYTANIA ST, SUITE 450
NEW ORLEANS, LA 70115

Orleans Parish (504) 899-6391

DOUGLAS NEIL LURIE JR. MD

Orthopaedic Surgery

3434 PRYTANIA ST, SUITE 430
NEW ORLEANS, LA 70115

Orleans Parish (504) 899-6391

LEADER BALKAN & HENDRICKS APMC

Ophthalmology

3434 PRYTANIA ST, SUITE 250
NEW ORLEANS, LA 70115

Orleans Parish (504) 891-1988

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 Robert Balkan's NPI number?

The NPI number for Robert Balkan is 1790725737. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Robert Balkan located?

Robert Balkan practices at 3434 Prytania St Suite 250, New Orleans, LA 70115. The listed phone number is (504) 891-1988.

What is Robert Balkan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Balkan enrolled in Medicare?

Yes. Robert Balkan 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 Robert Balkan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Ambetter of Alabama and 4 other insurers list Robert Balkan 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 Robert Balkan was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.