Susan R Ballinger

MD | Pediatric Rheumatology | Female

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Complete Profile:

Susan R Ballinger basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Susan R Ballinger
Other Name :	Susan R Hyatt
Credential :	MD
Gender :	Female

Business Address:

Susan R Ballinger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rr 307 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-2172
Fax Number :	317-274-3031

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1780793869
NPI Entity Type :	Individual
First Enrolment Date :	30 Aug, 2006
Last Updated On :	24 Nov, 2020

Medicare Participation:

Susan R Ballinger participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6406956663
Medicare Enrollment ID :	I20070717000502
Primary Specialty :	Rheumatology
Medical School :	Rutgers New Jersey Medical School
Graduation Year :	1988
Accepts Medicare?	Yes. Susan R Ballinger accepts medicare insurance.

Group Practice Association:

Susan R Ballinger is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Susan R Ballinger is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan R Ballinger are as mentioned. Primary taxonomy code for Susan R Ballinger, MD is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	01042632	IN

Legacy Identifiers:

Other legacy medical identifiers of Susan R Ballinger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1780793869	MEDICAID	VT
100383310	MEDICAID	IN
64882319	MEDICAID	KY

Other Practice Locations:

Practice Address	City, State	Phone Number
702 BARNHILL DR STE 5860, INDIANAPOLIS, IN, 46202-5128 United States	INDIANAPOLIS, IN	317-274-2172

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-777-6435
Fax Number :	317-777-6644

Business Location:

Patients can refer following map for directions to Susan R Ballinger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.