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DR. SEYMOURE BALAJ SR.
NPI 1972604114
Podiatrist - Primary Podiatric Medicine in Southfield, MI

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
25520 KAREN STREET, 27600 NORTHWESTERN HIGHWAY SUITE 260, SOUTHFIELD, MI 48034(248) 355-9300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Seymoure Balaj Sr. NPPES

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

DR. SEYMOURE BALAJ SR. (NPI 1972604114) is an individual primary podiatric medicine provider in Southfield, Michigan, licensed in Michigan (5901400060) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1983).

NPPES Registry Identity

NPI1972604114
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. SEYMOURE BALAJ SR.
Location Address25520 KAREN STREET, 27600 NORTHWESTERN HIGHWAY SUITE 260Southfield, MI 48034
Mailing Address25520 Karen StOak Park, MI 48237-1377 · (248) 398-2815
Phone(248) 355-9300
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1983
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972604114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MI · 5901400060
25520 KAREN STREET, Southfield, MI 48034
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Seymoure Balaj D.p.m.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Dr. Seymoure Balaj Sr. 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 ID244122414
PECOS Enrollment IDI20040325000351
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 Reassignment

Medicare enrollment records show Seymoure Balaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Mobile Podiatry, PLLC
4.7 mi
Podiatrist
24293 TELEGRAPH RD STE 212
Southfield, MI 48033
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1013347244 (734) 493-1662

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

Areas of Expertise CMS Part B claims 3

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
133 services80 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
61 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
26 services18 patients

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 Seymoure Balaj's NPI number?

The NPI number for Seymoure Balaj is 1972604114. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Dr. Seymoure Balaj D.P.M..

Where is Seymoure Balaj located?

Seymoure Balaj practices at 25520 Karen Street 27600 Northwestern Highway Suite 260, Southfield, MI 48034. The listed phone number is (248) 355-9300.

What is Seymoure Balaj's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Seymoure Balaj enrolled in Medicare?

Yes. Seymoure Balaj 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 organization bills Medicare for Seymoure Balaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seymoure Balaj reassigns Medicare benefits to Medical Mobile Podiatry, PLLC (Southfield, MI). The 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 Seymoure Balaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seymoure Balaj accept?

Health plans from Priority Health list Seymoure Balaj 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 Seymoure Balaj was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.