Nader Balba, MD
NPI 1013949254 · Gastroenterology Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nader Balba, MD is a Gastroenterology Physician provider in Fairfax, VA (NPI 1013949254).
Provider details
- NPI number
- 1013949254
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101058922 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,146 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 274 | $69 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 269 | $53 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 167 | $139 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 98 | $162 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 67 | $110 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 196 | 84 |
| Pantoprazole Sodium | 137 | 57 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 76 | 76 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 49 | 48 |
| Mesalamine | 28 | — |
| Linaclotidebrand: Linzess | 25 | — |
| Dicyclomine Hcl | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$482 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 3914 Centreville Rd Ste 350Chantilly, VA 20151-3289Phone: (703) 716-8700
- 3700 Joseph Siewick Dr Ste 308Fairfax, VA 22033-1739Phone: (703) 698-8960Fax: (647) 646-4744
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2019-05-07
Frequently asked questions
- What is Nader Balba's NPI number?
- Nader Balba's National Provider Identifier (NPI) is 1013949254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nader Balba's specialty?
- Nader Balba is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nader Balba located?
- Nader Balba's practice location on file with NPPES is 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622.
- What is Nader Balba's phone number?
- The practice phone number listed in the NPPES registry for Nader Balba is (703) 698-8960.
- Does Nader Balba accept Medicare?
- Nader Balba is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nader Balba's NPI active?
- Yes — Nader Balba's NPI (1013949254) is active in the NPPES registry as of the last update on 2019-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.