Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JANICE K. BALAS MD
NPI 1851322564
Emergency Medicine in Wilmington, DE

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
7TH & CLAYTON STS, WILMINGTON, DE 19805(302) 421-4333(302) 421-4858 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Janice K. Balas Md NPPES

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

JANICE K. BALAS MD (NPI 1851322564) is an individual emergency medicine provider in Wilmington, Delaware, licensed in Delaware (C10005846) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1851322564
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJANICE K. BALASCredential: MD
Location Address7TH & CLAYTON STSWilmington, DE 19805
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4300
Fax(302) 421-4858
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateJuly 5, 2006
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1851322564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in DE · C10005846
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

7TH & CLAYTON STS, Wilmington, DE 19805

Secondary Practice Location 1

Location 14755 Ogletown Stanton RdNewark, DE 19718-2200 · Phone (302) 733-1940

Other Identifiers 1

Medicaid0001053301DE

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

Janice K. Balas 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 ID143290510
PECOS Enrollment IDI20040731000147
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
195 services184 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services59 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services26 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
7TH & CLAYTON STS, MED OFC BLDG SUITE 500
WILMINGTON, DE 19805
Emergency Medicine
7TH & CLAYTON STS
WILMINGTON, DE 19805
Emergency Medicine
7TH & CLAYTON STS
WILMINGTON, DE 19805
Emergency Medicine
7TH & CLAYTON STS
WIMINGTON, DE 19805
Physician Assistant
7TH & CLAYTON STS
WILMINGTON, DE 19805
Internal Medicine (Gastroenterology)
7TH & CLAYTON STS, SAINT FRANCIS MEDICAL CENTER
WILMINGTON, DE 19805
Anesthesiology
7TH & CLAYTON STS
WILMINGTON, DE 19805
Physician Assistant
7TH & CLAYTON STS
WILMINGTON, DE 19805

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 Janice Balas's NPI number?

The NPI number for Janice Balas is 1851322564. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Janice Balas located?

Janice Balas practices at 7th & Clayton Sts, Wilmington, DE 19805. The listed phone number is (302) 421-4333.

What is Janice Balas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Janice Balas enrolled in Medicare?

Yes. Janice Balas 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.

When was this NPI record last updated?

The NPPES record for Janice Balas was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.