DR. MICHAEL W BALBUS M.D.
NPI 1245298041
Pediatrics - Neonatal-Perinatal Medicine in Bloomington, IN
NPI Status: Active since May 02, 2006
Contact Information
2651 E DISCOVERY PKWY
BLOOMINGTON, IN
ZIP 47408
Phone: (812) 353-9852
Fax: (812) 353-9278
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About MICHAEL BALBUS
This page provides the complete NPI Profile along with additional information for Michael Balbus, a pediatrician established in Bloomington, Indiana with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1245298041 assigned on May 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 01060372A (IN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1245298041
- Provider Name
- DR. MICHAEL W BALBUS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408
- Location Phone
- (812) 353-9852
- Location Fax
- (812) 353-9278
- Mailing Address
- 250 N SHADELAND AVE INDIANAPOLIS, IN 46219
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-02-2006
- Last Update Date
- 08-26-2022
- Code Navigator
A pediatrician like Michael Balbus is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 225 East Chicago Avenue Box 152
Chicago, IL 60611
(312) 227-7413
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01060372A
- License State
- IN
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 036-091626 (IL) |
| 2 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 0101259640 (VA) |
| 3 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 168666-01 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 021622158 | OTHER (01) | IL | GROUP BLUE SHIELD NUMBER |
| 036091626 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Michael Balbus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. MICHAEL W BALBUS M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 9 | 8 | 0 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 9 | 16 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 9 + 1 + 6 + 0 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1245298041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053555292 | LINDA A BENEDICT NP Individual | Nurse Practitioner (Family) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1376645408 | LINDSEY RENEE KOCHER PA-C Individual | Physician Assistant | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1699126870 | KAREN SAYAD MD Individual | Internal Medicine (Critical Care Medicine) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 331-3400 |
| 1992703581 | DEBBIE J HALL MD Individual | Pediatrics | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1386106250 | DR. DAVID HARLAN MONTGOMERY MD Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1437654738 | DR. MOLLIE POWELL DO Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1467401794 | DR. JEREMY GEORGE REMUS MD Individual | Family Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1689170342 | BRANDON W BOWDOIN DO Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1992352934 | CHINENYE U EZE-RAPHAEL MD Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1003301805 | WAI POK VERNON CHAN DO Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1023751419 | MRS. MEGAN EMILY MCGLOTHLIN NP Individual | Nurse Practitioner (Gerontology) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4144 |
| 1093246001 | DR. JOHN AUSTIN LEE MD, MPH Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1174264089 | LAUREN ELIZABETH JENSEN PA-C Individual | Physician Assistant | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1548241912 | DR. ASHWIN NARASIMHAN M.D. Individual | Internal Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4102 |
| 1902394711 | KEVIN ALLEN KESSLER MD Individual | Psychiatry & Neurology (Neurology) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-5222 |
| 1134381296 | DR. CARLYLE GEORGE LANGHORN JR. M.D. Individual | Emergency Medicine | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-9515 |
| 1184367989 | HARVEY M MILLS PA-C Individual | Physician Assistant | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-5252 |
| 1053950105 | SHANNON G MALECKI NP Individual | Nurse Practitioner (Family) | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 676-4444 |
| 1376266536 | BELINDA CRAIN PHARMD Individual | Pharmacist | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 353-3499 |
| 1447491477 | LESLIE ANNE FOXLOW MD Individual | Obstetrics & Gynecology | 2651 E DISCOVERY PKWY BLOOMINGTON, IN 47408 (812) 918-3400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245298041, enumerated in the NPI registry as an "individual" on May 02, 2006
The provider is located at 2651 E Discovery Pkwy Bloomington, In 47408 and the phone number is (812) 353-9852
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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