HENRI BALAGUERA M.D.
NPI 1922069020
Hospitalist in Burlington, MA

Q: What is Henri Balaguera's NPI number?

The NPI number for Henri Balaguera is 1922069020. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Henri Balaguera's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Henri Balaguera was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 March 29, 2006PECOS Enrolled

91.41/100

CMS Quality Rating

41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-7000(781) 744-5378 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Henri Balaguera M.d. NPPES

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

HENRI BALAGUERA M.D. (NPI 1922069020) is an individual hospitalist provider in Burlington, Massachusetts, licensed in Massachusetts (205583) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922069020

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameHENRI BALAGUERACredential: M.D.

Location Address41 MALL RD, LAHEY CLINICBurlington, MA 01805-0001

Mailing AddressLahey Hospital And Medical Center, 41 Mall RoadBurlington, MA 01805-0001 · (781) 744-3839 · Fax (781) 744-1597

Phone(781) 744-7000

Fax(781) 744-5378

Sole ProprietorNo

Enumeration DateMarch 29, 2006

Last NPPES UpdateJanuary 4, 2019

✔ NPI 1922069020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MA · 205583

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 205583 (MA)

41 MALL RD, Burlington, MA 01805

Open in Google Maps ↗

Other Identifiers 1

Medicaid110085290AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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)

Henri Balaguera 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

91.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.87

Promoting Interoperability

100

Improvement Activities

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.

SAHOOR KHAN

Internal Medicine (Interventional Cardiology)