Nader H Balba, MD - Medicare Gastroenterology in Fairfax, VA

Nader H Balba, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fairfax, Virginia. He went to University Of Connecticut School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Gastroenterology Associates Of Northern Virginia, Llc and his current practice location is 3028 Javier Rd Ste 500, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 698-8960.

Nader H Balba is licensed to practice in Virginia (license number 0101058922) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013949254.

Contact Information

Nader H Balba, MD
3028 Javier Rd Ste 500,
Fairfax, VA 22031-4622
(703) 698-8960
(571) 494-5794

Map and Direction




Physician's Profile

Full NameNader H Balba
GenderMale
SpecialityGastroenterology
Experience27 Years
Location3028 Javier Rd Ste 500, Fairfax, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nader H Balba attended and graduated from University Of Connecticut School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1013949254
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 05/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2062402308
  • Enrollment ID: I20040517001452

Medical Identifiers

Medical identifiers for Nader H Balba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013949254NPI-NPPES
346671OtherANTHEM BCBS
339057OtherANTHEM BCBS
342328OtherANTHEM BCBS
79160017OtherCAREFIRST BCBS
339055OtherANTHEM BCBS
339058OtherANTHEM BCBS
339052OtherANTHEM BCBS
5885515MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 0101058922 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fair Oaks HospitalFairfax, VAHospital
Inova Fairfax HospitalFalls church, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastroenterology Associates Of Northern Virginia, Llc175937100882

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. Nader H Balba allows following entities to bill medicare on his behalf.
Entity NameGastroenterology Associates Of Northern Virginia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205884368
PECOS PAC ID: 1759371008
Enrollment ID: O20040517001478
Entity NameAdvanced Digestive Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629462171
PECOS PAC ID: 3375857725
Enrollment ID: O20170124002297

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. Nader H Balba 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
Nader H Balba, MD
3700 Joseph Siewick Dr, Suite 308,
Fairfax, VA 22033

Ph: (703) 698-8960
Nader H Balba, MD
3028 Javier Rd Ste 500,
Fairfax, VA 22031-4622

Ph: (703) 698-8960

Reviews and Comments


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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.