Active NPI
Jose Carreon Balinas, P.A.
- Occupational Medicine Physician
- Bethesda, MD
National Provider Identifier
1033286372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- C0001738
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0001738 | MD | MD | Occupational 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.