Active NPI
Matthew T. Ballo, M.D.
- Radiation Oncology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35071913B
- Practice address
- 100 N Humphreys Blvd
Memphis, TN 38120-2146 - Phone
- (901) 683-0055
- Fax
- (901) 685-2969
- NPI assigned
- Sep 22, 2006
- Last updated
- Dec 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | L0014 | TX | |
| Radiation Oncology Physician | 2085R0001X | 50791 | TN | |
| Radiation Oncology Physician | 2085R0001X | 35071913B | OH | Primary |
Addresses
Primary practice location
100 N Humphreys Blvd
Memphis, TN 38120-2146
Mailing address
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 683-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45529701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 E Milltown Rd
Wooster, OH 44691-1255
Phone (330) 287-4500
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 442-1270
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 83.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35071913B | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wooster Clinic, LLC | Current | Accepting new patients | |
| Radiation Oncology Associates, PC | Current | Accepting new patients | |
| Cancer Care Center of Henry County, LLC | Current | Accepting new patients | |
| The West Clinic P.C. | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Dyersburg Radiation Oncology Center, L.L.C. | Current | Accepting new patients | |
| M D Anderson Physicians Network | Past | Accepting new patients |
Locations
7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410
7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080
7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000
Networks
- KY PPO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- KY PPO C-SNP
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- OH PPO
Interoperability endpoints
- mballo30100@mlh.direct-ci.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
- Radiation Oncology Clinic/Center
- Paris, TN
- NPI 1275650434
-
dba Cancer Care Center of Dyersburg
- Radiation Oncology Clinic/Center
- Dyersburg, TN
- NPI 1730206970
-
dba Cancer Care Center of Jackson
- Radiation Oncology Clinic/Center
- Jackson, TN
- NPI 1043380108
-
- Specialist
- Germantown, TN
- NPI 1447276605
-
- Medical Oncology Physician
- Houston, TX
- NPI 1659324093
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
dba Mercy Medical Center
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1013017094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202146",
"telephone_number": "901-683-0055",
"fax_number": "901-685-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202146",
"telephone_number": "901-683-0055",
"fax_number": "901-685-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLO",
"first_name": "MATTHEW",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "L0014",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "50791",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35071913B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45529701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.