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SHEMSU D BALKER M.D.
NPI 1871545293
Internal Medicine in Dallas, TX

Active since May 16, 2006PECOS Enrolled
75.27/100
CMS Quality Rating
4500 S LANCASTER RD, DALLAS, TX 75216(214) 857-0000 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Mar 25, 2021, Feb 19, 2021 and 1 more (4 updates tracked since 2018).

About Shemsu D Balker M.d. NPPES

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

SHEMSU D BALKER M.D. (NPI 1871545293) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (N4277) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871545293
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHEMSU D BALKERCredential: M.D.
Location Address4500 S LANCASTER RDDallas, TX 75216-7167
Mailing Address4500 S Lancaster RdDallas, TX 75216-7167 · (214) 875-2464
Phone(214) 857-0000
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 17, 20264 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1871545293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · N4277✔ Licensed in LA · 200539
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License E-11647 (AR)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 200539 (LA)
Also ListedHospitalistTaxonomy 208M00000X · License E-11647 (AR)
4500 S LANCASTER RD, Dallas, TX 75216
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1603 N Progress AveSiloam Springs, AR 72761-4352 · Phone (479) 524-4141
Location 22570 Fm 407 Ste 160Highland Village, TX 75077-3055 · Phone (972) 236-7060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Molina Healthcare 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 (PECOS)

Shemsu D Balker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75216 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

DALLAS VETERANS ADMINISTRATION MEDICAL CENTER
General Acute Care Hospital
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 857-0130
MR. SCOTT MONROE ESTES I RRT
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 857-1508
JOBY LINKER RRT
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 857-1508
ASHLEE PEEBLES LCSW
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 857-4235
JULIA EVANS
Psychologist (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 857-4279
JILLY NYANGOR
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 742-8387
ALEXIS RICHARDSON PHARMD
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (210) 317-2909
DIAMILET C COLLAZO PT
Physical Therapist
4500 S LANCASTER RD
DALLAS, TX 75216
Dallas County (214) 857-0193

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 Shemsu Balker's NPI number?

The NPI number for Shemsu Balker is 1871545293. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Shemsu Balker located?

Shemsu Balker practices at 4500 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 857-0000.

What is Shemsu Balker's specialty?

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

Is Shemsu Balker enrolled in Medicare?

Yes. Shemsu Balker is registered in the Medicare PECOS enrollment system.

What insurance does Shemsu Balker accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and WellPoint list Shemsu Balker 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 Shemsu Balker was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.