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SERGE BALMIR JR. D.O.
NPI 1841414216
Internal Medicine - Nephrology in Brooklyn, NY

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3131 KINGS HWY, SUITE C4, BROOKLYN, NY 11234(718) 338-2283(718) 253-2204 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serge Balmir Jr. D.o. NPPES

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

SERGE BALMIR JR. D.O. (NPI 1841414216) is an individual nephrology provider in Brooklyn, New York, licensed in New York (232339) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2000).

NPPES Registry Identity

NPI1841414216
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSERGE BALMIR JR.Credential: D.O.
Location Address3131 KINGS HWY, SUITE C4Brooklyn, NY 11234-2644
Mailing Address3131 Kings Hwy, Suite C4Brooklyn, NY 11234-2644 · (718) 338-2283 · Fax (718) 253-2204
Phone(718) 338-2283
Fax(718) 253-2204
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2000
Enumeration DateApril 13, 2007
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1841414216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 232339
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3131 KINGS HWY, Brooklyn, NY 11234
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI19387NY
Medicaid02591995NY

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

Serge Balmir Jr. D.o. 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 ID9335101815
PECOS Enrollment IDI20041027000799
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 Reassignments

2

Medicare enrollment records show Serge Balmir reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paul K. Wein MD PC
Same address
Internal Medicine
3131 KINGS HWY, SUITE D-6
Brooklyn, NY 11234
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1932107703 (718) 338-2283
Doral Medical And Multi Specialty Facility LLC
4.1 mi
Multi-Specialty
1797 PITKIN AVE
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1144693607 (718) 367-2555

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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
420 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
295 services96 patients
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.
253 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services95 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
75 services60 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability92
Improvement Activities40
Cost87.79

Reported Quality Measures

Controlling High Blood Pressure
93%271 patients5/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%109 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,171 patients5/55-star benchmark: 100%
e-Prescribing
87%127 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
51%986 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 366 patients
94%366 patients
Provide Patients Electronic Access to Their Health Information
87%291 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 349 patients
Patients totalRate: 1% · 349 patients
0%349 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

VALAINE B HEWITT MD
Internal Medicine (Cardiovascular Disease)
3131 KINGS HWY, STE 3-04
BROOKLYN, NY 11234
Kings County (215) 933-0259
DR. XIAOJUN YAN MD
Internal Medicine (Pulmonary Disease)
3131 KINGS HWY, SUITE D10
BROOKLYN, NY 11234
Kings County (718) 252-3590
DR. ALLAN J SOBIN M.D.
Psychiatry & Neurology (Neurology)
3131 KINGS HWY, SUITE C3
BROOKLYN, NY 11234
Kings County (718) 377-0700
KINGS PULMONARY ASSOCIATES, PC
Internal Medicine (Pulmonary Disease)
3131 KINGS HWY, SUITE D10
BROOKLYN, NY 11234
Kings County (718) 252-3590
NYC INTERNAL MEDICINE AND NEPHROLOGY, PC
Internal Medicine (Nephrology)
3131 KINGS HWY, SUITE B8
BROOKLYN, NY 11234
Kings County (718) 377-2327
AS MEDICAL PC
Specialist
3131 KINGS HWY, STE B10
BROOKLYN, NY 11234
Kings County (347) 462-9292
UNIVERSITY HEART ASSOCIATES, MD'S, PC.
Internal Medicine (Cardiovascular Disease)
3131 KINGS HWY, STE B-8
BROOKLYN, NY 11234
Kings County (718) 998-2323
DOCTOR'S CARDIO-VASCULAR IMAGING, P.C.
Internal Medicine
3131 KINGS HWY, SUITE B1
BROOKLYN, NY 11234
Kings County (718) 998-2323

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 Serge Balmir's NPI number?

The NPI number for Serge Balmir is 1841414216. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Serge Balmir located?

Serge Balmir practices at 3131 Kings Hwy Suite C4, Brooklyn, NY 11234. The listed phone number is (718) 338-2283.

What is Serge Balmir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Serge Balmir enrolled in Medicare?

Yes. Serge Balmir 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 organizations bill Medicare for Serge Balmir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serge Balmir reassigns Medicare benefits to 2 organizations: Paul K. Wein MD PC (Brooklyn, NY) and Doral Medical And Multi Specialty Facility LLC (Brooklyn, NY). Each 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 Serge Balmir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Serge Balmir affiliated with any hospitals?

According to CMS data, Serge Balmir is affiliated with Mount Sinai Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for Serge Balmir was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.