Individual provider Active NPI

Jose Carreon Balinas, P.A.

  • Occupational Medicine Physician
  • Bethesda, MD
National Provider Identifier
1033286372
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
C0001738 Issued in MD
Practice address
Walter Reed National Military Medical Center, BLDG 7
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
Phone
(301) 319-3440
Fax
(301) 295-0326
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0001738 MD
Medical Physician Assistant 363AM0700X
Occupational Medicine Physician 2083X0100X C0001738 MD Primary

Addresses

Primary practice location

Walter Reed National Military Medical Center, BLDG 7
8901 Wisconsin Avenue
Bethesda, MD 20889-5600

Mailing address

12103 Hunters LN
Rockville, MD 20852-2245
Phone (301) 221-7687

Other practice location 1

12103 Hunters Ln
Rockville, MD 20852-2245
Phone (301) 881-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0001738MDMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1033286372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12103 HUNTERS LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522245",
            "telephone_number": "301-221-7687",
            "fax_number": "301-295-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER, BLDG 7",
            "address_2": "8901 WISCONSIN AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "301-319-3440",
            "fax_number": "301-295-0326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12103 Hunters Ln",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522245",
            "country_code": "US",
            "telephone_number": "301-881-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALINAS",
        "first_name": "JOSE",
        "middle_name": "CARREON",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001738",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "C0001738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.