Claudia M. Balta, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002362 Issued in IA

Practice address

1400 Senate Ave
Ste. 105
Red Oak, IA 51566-1271

Phone

(712) 623-7250

Fax

(712) 623-7257

NPI assigned

Jan 16, 2013

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claudia.balta@direct.nmhs.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/2204183e-6c83-4c63-94c0-94d8c17a6ef8/
• Direct secure messaging: mccbalta@mcmh.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montgomery County Memorial Hospital

  • Internal Medicine Physician
  • Red Oak, IA
  • NPI 1265405310

  Physician Assistant

  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  dba MCMH Pharmacy

  • Community/Retail Pharmacy
  • Red Oak, IA
  • NPI 1699887547
  NPD
• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  NPD
• Montgomery County Memorial Hospital

  dba Red Oak Medical Clinic

  • Rural Health Clinic/Center
  • Red Oak, IA
  • NPI 1891405452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1003153636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "712-623-7250",
            "fax_number": "712-623-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SENATE AVE",
            "address_2": "STE. 105",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661271",
            "telephone_number": "712-623-7250",
            "fax_number": "712-623-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTA",
        "first_name": "CLAUDIA",
        "middle_name": "M.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731710",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apria Healthcare LLC
• Arlington Place
• Arlington Place of Red Oak II, Inc.
• William G Artherholt, D.O.
• Audiological Services Inc.
• Lane Beisel, PT, DPT
• Kaylie Marie Blackledge
• Kimberly Lynn Bond, RD, LMNT, LD, CNSC
• Dara Brandt, PHARMD
• Christel Erika De Guzman Bullis, PT, DPT

• Physician Assistant in Red Oak, IA
• Providers in Red Oak, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.