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DR. ALFRED BALASA M.D.
NPI 1871936302
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Fort Worth, TX

Active since April 15, 2013PECOS Enrolled
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-2500(682) 885-2510 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2022, May 24, 2022, Apr 13, 2022 and 3 more (6 updates tracked since 2020).

About Dr. Alfred Balasa M.d. NPPES

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

DR. ALFRED BALASA M.D. (NPI 1871936302) is an individual neurology with special qualifications in child neurology provider in Fort Worth, Texas, licensed in Texas (T6826) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871936302
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. ALFRED BALASACredential: M.D.
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 303-7132
Phone(682) 885-2500
Fax(682) 885-2510
Sole ProprietorYes
Enumeration DateApril 15, 2013
Last NPPES UpdateMay 2, 20256 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1871936302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TX · T6826
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 28962 (WV)
1500 COOPER ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc., Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alfred Balasa 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alfred Balasa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Physician Network
0.1 mi
Developmental - Behavioral Pediatrics
1500 COOPER ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1548230923 (682) 303-9200
Texas Children's Physician Group
238 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000
West Virginia University Medical Corporation
1,058 mi
Clinical Medical Laboratory
527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1457605404 (304) 848-2152

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 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 20

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

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Alfred Balasa's NPI number?

The NPI number for Alfred Balasa is 1871936302. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Alfred Balasa located?

Alfred Balasa practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-2500.

What is Alfred Balasa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Alfred Balasa enrolled in Medicare?

Yes. Alfred Balasa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alfred Balasa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfred Balasa reassigns Medicare benefits to 3 organizations: Cook Children's Physician Network (Fort Worth, TX), Texas Children's Physician Group (Houston, TX) and West Virginia University Medical Corporation (Bridgeport, WV). 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 Alfred Balasa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfred Balasa accept?

Health plans from Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. list Alfred Balasa 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 Alfred Balasa was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.