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: July 19, 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
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

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

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.

Obstetrics & Gynecology
4500 S LANCASTER RD
DALLAS, TX 75216
Internal Medicine (Gastroenterology)
4500 S LANCASTER RD, GASTRO 111B1, DVAMC
DALLAS, TX 75216
Pharmacist (Pharmacotherapy)
4500 S LANCASTER RD
DALLAS, TX 75216
Physician Assistant (Medical)
4500 S LANCASTER RD
DALLAS, TX 75216
Physician Assistant
4500 S LANCASTER RD, NORTH TEXAS HEALTH CARE SYSTEM, (1121)
DALLAS, TX 75216
Physician Assistant
4500 S LANCASTER RD
DALLAS, TX 75216
Internal Medicine
4500 S LANCASTER RD, AMB CARE 11C
DALLAS, TX 75216
Kinesiotherapist
4500 S LANCASTER RD
DALLAS, TX 75216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871545293, enumerated as an "individual" on May 16, 2006.

The provider is located at 4500 S LANCASTER RD DALLAS, TX 75216 and the phone number is (214) 857-0000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc., Blue. Please consult your insurance carrier or call the provider to verify.