TANIA S BALABANOVA (MD) – Anesthesiology Physician, NPI 1730463282

TANIA S BALABANOVA (MD) is a healthcare provider. based in Beloit, Wisconsin. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 56342-20 (WI). The NPI Number for TANIA S BALABANOVA (MD) is 1730463282

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
TANIA S BALABANOVA (MD)
NPI
1730463282
Phone
(608) 362-7444
Address
3005 RIVERSIDE DR
Enumeration Date
3 October 2011
Last Update Date
13 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7733555300
Graduation Year
1977 (49 years ago)
PAC ID
9032383195
Group Practice PAC ID
9436119542
Professional Enrollment ID
I20190820001822
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for TANIA S BALABANOVA (MD)

  • 3005 RIVERSIDE DR

    SUITE 206

    BELOIT, WI 535111500

    Phone: (608) 362-7444

    Fax: (608) 362-0417

    Type: Mailing

  • 1969 W HART RD

    BELOIT, WI 535112230

    Phone: (608) 362-7444

    Fax: (608) 362-0417

    Type: Location

  • 8420 W BRYN MAWR AVE STE 300

    CHICAGO, IL 606313436

    Phone: (708) 831-8282

    Fax: (773) 714-1229

    Type: Location

  • PO BOX 443

    BEDFORD PARK, IL 604990443

    Phone: (708) 831-8282

    Fax: (773) 714-1229

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-08-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190820001822IAnesthesiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2704Injection, propofol, 10 mg77426$0
00811Anesthesia for other procedure on large bowel using an endoscope7171$0
00813Anesthesia for procedure on small and large bowel using an endoscope2727$0
J7120Ringers lactate infusion, up to 1000 cc2726$0
View full utilization report →

Insurance plans in this area (ZIP 53511)

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Provider's Procedures

TANIA S BALABANOVA (MD) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYWI00790Anesthesia for procedure in upper abdomen including use of an endoscope2020

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436119542View full group profile
NameSpecialtyState
Pain Management, Anesthesiology, Interventional Pain ManagementIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Anesthesiology, Pain ManagementIN
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Anesthesiology, Interventional Pain ManagementIL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How do I look up TANIA S BALABANOVA (MD) by NPI?
Use NPI 1730463282 when you need to reference TANIA S BALABANOVA (MD) in forms, claims, or directories.
Is TANIA S BALABANOVA (MD) active in the national directory?
TANIA S BALABANOVA (MD)'s public NPI profile is in an active state.
What kind of provider is TANIA S BALABANOVA (MD)?
The page reflects Anesthesiology Physician for TANIA S BALABANOVA (MD). Clinical services aligned with this taxonomy classification.
Does TANIA S BALABANOVA (MD) practice in Wisconsin?
You will see Beloit, Wisconsin on file for TANIA S BALABANOVA (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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