Roumen Balabanov, M.D.
NPI 1508817941 · Neurology Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roumen Balabanov, M.D. is a Neurology Physician provider in Chicago, IL (NPI 1508817941).
Provider details
- NPI number
- 1508817941
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036105349 (IL)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
434 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 126 | $186 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 117 | $66 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 59 | $137 |
| Administration of Chemotherapy Into Vein, Each Additional Hour96415 | 46 | $29 |
| Injection of Additional New Drug Or Substance Into Vein96375 | 39 | $16 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 28 | $136 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Baclofen | 84 | 25 |
| Mycophenolate Mofetil | 79 | 16 |
| Dalfampridinebrand: Dalfampridine Er | 71 | 14 |
| Immun Glob G(igg)/Gly/Iga Ov50brand: Gammagard Liquid | 51 | — |
| Diazepam | 49 | 11 |
| Gabapentin | 43 | 16 |
| Dimethyl Fumaratebrand: Tecfidera | 35 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$145 across 1 record (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
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2019-12-18
- Certified
- 2019-12-18
Frequently asked questions
- What is Roumen Balabanov's NPI number?
- Roumen Balabanov's National Provider Identifier (NPI) is 1508817941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roumen Balabanov's specialty?
- Roumen Balabanov is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Roumen Balabanov located?
- Roumen Balabanov's practice location on file with NPPES is 259 E Erie St Ste 1900, Chicago, IL 60611-3246.
- What is Roumen Balabanov's phone number?
- The practice phone number listed in the NPPES registry for Roumen Balabanov is (312) 695-7950.
- Does Roumen Balabanov accept Medicare?
- Roumen Balabanov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roumen Balabanov's NPI active?
- Yes — Roumen Balabanov's NPI (1508817941) is active in the NPPES registry as of the last update on 2019-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.