KEITH E. BALLINGER PA C – NPI #1114934759
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

KEITH BALLINGER is an urologist located in MATTOON, IL. NPPES has assigned the NPI number 1114934759 to KEITH BALLINGER on August 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Oct 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEITH BALLINGER below.

NPI Profile for
KEITH E. BALLINGER

NPI Number
1114934759
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEITH E. BALLINGER
Credentials
PA C
Primary location
1000 HEALTH CENTER DR STE 305
MATTOON, IL 61938-4644
Phone: (217) 258-4186 Fax: (217) 348-4185
1 Other location(s):
1303 W Evergreen Ave Ste 202
Effingham, IL 62401-1638
Phone: (217) 238-4633
Fax: (217) 342-3402
Mailing address
PO BOX 372
MATTOON, IL 61938-0372
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
IL 085001872
363A00000X
- Physician Assistant
IL 085001872

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEITH BALLINGER is affiliated with the following medical group(s):
  • HOSPITAL
    • SARAH BUSH LINCOLN HEALTH CENTER
      1000 HEALTH CENTER DRIVE P O BOX 372
      MATTOON, IL 61938
    • ST MARYS HOSPITAL
      1800 E LAKE SHORE DR
      DECATUR, IL 62521

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.