James Balarbar, MD - Medicare Emergency Medicine in Round Rock, TX

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James Balarbar, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Round Rock, Texas. His current practice location is 2400 Round Rock Ave, Round Rock, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 341-1000.

James Balarbar is licensed to practice in Texas (license number K1974) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194783787.

Contact Information

James Balarbar, MD
2400 Round Rock Ave,
Round Rock, TX 78681-4004
(512) 341-1000
Not Available

Map and Direction




Physician's Profile

Full NameJames Balarbar
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location2400 Round Rock Ave, Round Rock, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194783787
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 05/11/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4789752585
  • Enrollment ID: I20081007000361

Medical Identifiers

Medical identifiers for James Balarbar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194783787NPI-NPPES
118700704MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services K1974 (Texas)Primary
207P00000XEmergency Medicine K1974 (Texas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Balarbar allows following entities to bill medicare on his behalf.
Entity NamePhs Indian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809765
PECOS PAC ID: 4789598731
Enrollment ID: O20031114000287
Entity NameRosebud Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194757369
PECOS PAC ID: 6901704055
Enrollment ID: O20031226000337
Entity NameLawton Indian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760489223
PECOS PAC ID: 6406800234
Enrollment ID: O20050304000301
Entity NameLonghorn Emergency Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649669672
PECOS PAC ID: 4486971041
Enrollment ID: O20150320000152
Entity NameEmergency Medicine Services Of Tx, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245938729
PECOS PAC ID: 3375909351
Enrollment ID: O20230517001124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Balarbar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Balarbar, MD
12012 Mira Mesa Dr,
Austin, TX 78732-2138

Ph: (512) 266-3308		James Balarbar, MD
2400 Round Rock Ave,
Round Rock, TX 78681-4004

Ph: (512) 341-1000

Reviews and Comments


Emergency Medicine Doctors in Round Rock, TX

Clarke Worley Goodman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681
Phone: 512-341-1000    
Dr. Jaclyn Ngoc Minh Nguyen, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 300 University Blvd, Round Rock, TX 78665
Phone: 512-509-0100    
Christopher Wallace, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 300 University Blvd, Round Rock, TX 78665
Phone: 512-509-0100    Fax: 512-218-6330
Mark Garrison Munns, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 300 University Blvd, Round Rock, TX 78665
Phone: 512-509-0100    
Kristen Faye Walker, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3341 Winding River Trl, Round Rock, TX 78681
Phone: 325-260-9002    
Dr. Peter John Richerson, M.D.
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 300 University Blvd, Round Rock, TX 78665
Phone: 512-509-0100    
Dr. James Porter Mcdonough Iii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 300 University Blvd, Round Rock, TX 78665
Phone: 512-509-0100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.