✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RH0003X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

STANLEY P BALCERZAK, M.D. (NPI #1972935716)

Internal Medicine, Hematology & Oncology • SUNBURY, OH • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972935716
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RH0003X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
3113 N 3 BS AND K RD, SUNBURY, OH, 43074-9674
✓ 9-Digit EDI 837 ZIP+4 (43074-9674)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972935716 (STANLEY P BALCERZAK, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972935716 (NPI-1 Individual Practitioner)
Provider / Legal NameSTANLEY P BALCERZAK, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RH0003X (Internal Medicine, Hematology & Oncology)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address3113 N 3 BS AND K RD, SUNBURY, OH, 43074-9674
Practice Telephone / FaxTel: (740) 524-7191
Administrative Mailing Address3113 N 3 BS AND K RD, SUNBURY, OH, 43074-9674
Enumeration & Last SyncEnumerated: 2013-08-03 | CMS Record Updated: 2013-08-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3113 N 3 BS AND K RD, SUNBURY, OH, 43074-9674

🗺️ Open in Google Maps 🏥 More Providers in SUNBURY

Plain-English Taxonomy & CMS Crosswalk (207RH0003X)

What Does Taxonomy Code 207RH0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RH0003X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 83 (Physician/Hematology-Oncology)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STANLEY P BALCERZAK, M.D.)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RH0003X — Internal Medicine, Hematology & Oncology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: OH | License: 35. 030009 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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