DR. DVORAH BALSAM MD NPI 1871539155

NPI Information

  • NPI: 1871539155
  • Provider Name: DR. DVORAH BALSAM, MD
  • Classification: Radiology - 2085P0229X
  • Specialization: Pediatric Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: UNIVERSITY HOSPITAL AT STONY BROOK
    LEVEL 4
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-6919

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NPI Details

DR. Dvorah Balsam, MD is a pediatric radiology radiology in Stony Brook, NY. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Dvorah Balsam, MD NPI is 1871539155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

UNIVERSITY HOSPITAL AT STONY BROOK
LEVEL 4
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-6919

The NPI 1871539155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of lower leg, 2 views (HCPCS:73590)

The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085P0229XRadiologyPediatric Radiology101354NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14518803OTHERNEW YORKAETNA
202D651MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
374R981OTHERNEW YORKEMP B/C B/S
4A96893MEDICARE UPINNEW YORK
500778547MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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