DR. KHADIJAT OMOLOLA BALOGUN (M.D) – Gastroenterology Physician, NPI 1124310743
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 GASTROENTEROLOGY in CT
Provider Addresses for DR. KHADIJAT OMOLOLA BALOGUN (M.D)
353 MAIN ST
MANCHESTER, CT 060404145
Phone: (860) 649-3477
Fax: (860) 649-0011
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 183 Open Payments records for all available years, with a total value of $3,406.
Total Amount is formed as General ($3,406) + Research ($0) + Ownership ($0) = $3,406.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($753).
Total Amount
$3,406
General + Research + Ownership
Payments
183
Total payment records
General Amount
$3,406
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $753 |
| ABBVIE INC. | $666 |
| Celgene Corporation | $300 |
| Celltrion USA Inc. | $169 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $167 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210914002333 | I | Gastroenterology | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 125 | 123 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 115 | 115 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 93 | 93 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 86 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 57 | $0 |
Insurance plans in this area (ZIP 06040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MD | |
| Gastroenterology, Internal Medicine | MD | |
| P A T H O L O G Y | KY | |
| P A T H O L O G Y | MD | |
| Gastroenterology, Internal Medicine | MD |
Reviews
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