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DR. KIMBERLY SIERRA BALAY M.D.
NPI 1881917078
Pediatrics - Neonatal-Perinatal Medicine in Rapid City, SD

Active since March 02, 2010PECOS Enrolled
4140 PENROSE PL, RAPID CITY, SD 57702(605) 430-3176 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kimberly Sierra Balay M.d. NPPES

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

DR. KIMBERLY SIERRA BALAY M.D. (NPI 1881917078) is an individual neonatal-perinatal medicine provider in Rapid City, South Dakota, licensed in South Dakota (8287) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Baylor College Of Medicine (2004).

NPPES Registry Identity

NPI1881917078
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KIMBERLY SIERRA BALAYCredential: M.D.
Location Address4140 PENROSE PLRapid City, SD 57702-6828
Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4372 · Fax (325) 670-4040
Phone(605) 430-3176
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2004
Enumeration DateMarch 2, 2010
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1881917078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in SD · 8287✔ Licensed in CO · DR.0067767✔ Licensed in AZ · 66381
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
4140 PENROSE PL, Rapid City, SD 57702
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Secondary Practice Location 1

Location 16001 E Woodmen RdColorado Springs, CO 80923-2601 · Phone (719) 571-3755 · Fax (719) 571-8410

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona and more.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. Kimberly Sierra Balay M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779753454
PECOS Enrollment IDI20251104003956
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 Kimberly Balay reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Rapid City Hospital, Inc
2.6 mi
Occupational Medicine
6015 MOUNT RUSHMORE RD STE 2
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1376370288 (605) 755-2273
Avera Mckennan
148 mi
Multi-Specialty
100 MAC LN
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1780829283 (605) 224-5901
Catholic Health Initiatives Colorado
262 mi
Family Medicine
1224 EDISON ST
Brush, CO 80723
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
NPI 1043004377 (970) 542-4390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kimberly Balay's NPI number?

The NPI number for Kimberly Balay is 1881917078. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Kimberly Balay located?

Kimberly Balay practices at 4140 Penrose Pl, Rapid City, SD 57702. The listed phone number is (605) 430-3176.

What is Kimberly Balay's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kimberly Balay enrolled in Medicare?

Yes. Kimberly Balay is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Balay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Balay reassigns Medicare benefits to 3 organizations: Monument Health Rapid City Hospital, Inc (Rapid City, SD), Avera Mckennan (Pierre, SD) and Catholic Health Initiatives Colorado (Brush, CO). 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 Kimberly Balay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Balay accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Medica and Oscar Health and 5 other insurers list Kimberly Balay 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 Kimberly Balay was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.