SHEMSU D BALKER M.D.
NPI 1871545293
Internal Medicine in Dallas, TX
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, maintains 2 additional practice locations, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
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
Shemsu D Balker 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 Reassignments
13Medicare enrollment records show Shemsu Balker reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75219
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Desoto, TX 75115
- Reassigned Medicare billing, Texas enrollment
- 32 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,639 clinicians in this Medicare group
Dallas, TX 75230
- Reassigned Medicare billing, Texas enrollment
- 486 clinicians in this Medicare group
Carrollton, TX 75010
- Reassigned Medicare billing, Texas enrollment
- 22 clinicians in this Medicare group
Highland Village, TX 75077
- Reassigned Medicare billing, Texas enrollment
- 24 clinicians in this Medicare group
Highland Village, TX 75077
- Reassigned Medicare billing, Texas enrollment
- 25 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
- 478 clinicians in this Medicare group
Mckinney, TX 75071
- Reassigned Medicare billing, Texas enrollment
- 8 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.
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.
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.
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, TX 75216
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shemsu Balker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shemsu Balker reassigns Medicare benefits to 13 organizations: Revive Pcms Highland Park PLLC (Dallas, TX), High Baldy PLLC (Desoto, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Texas Health Physicians Group (Dallas, TX), Questcare Hospitalists PLLC (Dallas, TX) and 8 more organizations, listed in the Medicare section above. 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 Shemsu Balker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shemsu Balker accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 6 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.
# Shemsu D Balker, M.D. · NPI 1871545293
Internal Medicine physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1871545293 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** N4277 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4500 S LANCASTER RD, Dallas, TX 75216-7167
- **Phone:** (214) 857-0000
## 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:** 13 organizations under Medicare reassignment (form CMS-855R): Revive Pcms Highland Park PLLC (NPI 1124909353, Dallas, TX); High Baldy PLLC (NPI 1225851579, Desoto, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Texas Health Physicians Group (NPI 1053767897, Dallas, TX); Questcare Hospitalists PLLC (NPI 1265441620, Dallas, TX); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871545293) · Data from the CMS NPPES public registry.