DENA BALLOUZ MD
NPI 1902474596
Ophthalmology in Arlington Heights, IL

Q: What is Dena Ballouz's NPI number?

The NPI number for Dena Ballouz is 1902474596. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Dena Ballouz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dena Ballouz was last updated on August 6, 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.

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment

1602 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 255-3515(847) 255-8727 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jun 11, 2021 (2 updates tracked since 2021).

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About Dena Ballouz Md NPPES

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

DENA BALLOUZ MD (NPI 1902474596) is an individual ophthalmology provider in Arlington Heights, Illinois, licensed in Illinois (036179701) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902474596

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDENA BALLOUZCredential: MD

Location Address1602 W CENTRAL RDArlington Heights, IL 60005-2407

Mailing Address806 Central Ave Ste 300Highland Park, IL 60035-5613 · (847) 432-6010 · Fax (847) 432-8241

Phone(847) 255-3515

Fax(847) 255-8727

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 11, 2021

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1902474596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036179701

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1602 W CENTRAL RD, Arlington Heights, IL 60005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Ambetter of Alabama 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 and accepts Medicare assignment

Dena Ballouz Md 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.

PECOS PAC ID6305248998

PECOS Enrollment IDI20250716003193

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

Medicare enrollment records show Dena Ballouz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chicago Cornea Consultants Ltd

12 mi

Ophthalmology

806 CENTRAL AVE, STE 300
Highland Park, IL 60035

Reassigned Medicare billing, Illinois enrollment
12 clinicians in this Medicare group

NPI 1750468518 (847) 432-6010

University Of Miami

1,140 mi

Ambulatory Surgical

7103 FAIRWAY DR
Palm Beach Gardens, FL 33418

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1346317039 (561) 515-1500

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 60005 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 3

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

LAWRENCE D. WOLIN, M.D.,S.C.

Ophthalmology

1602 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 255-3515

RIDDHI PATEL OD

Optometrist

1602 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 255-3515

DR. LAWRENCE DAVID WOLIN MD

Ophthalmology

1602 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 255-3515

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 Dena Ballouz's NPI number?

The NPI number for Dena Ballouz is 1902474596. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Dena Ballouz located?

Dena Ballouz practices at 1602 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 255-3515.

What is Dena Ballouz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Dena Ballouz enrolled in Medicare?

Yes. Dena Ballouz 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 Dena Ballouz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dena Ballouz reassigns Medicare benefits to 2 organizations: Chicago Cornea Consultants Ltd (Highland Park, IL) and University Of Miami (Palm Beach Gardens, FL). 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 Dena Ballouz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dena Ballouz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Dena Ballouz 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 Dena Ballouz was last updated on August 6, 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.