Isabel Maria Balderas, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

221923 Issued in MA

Practice address

33 Lancaster St
Worcester, MA 01609-2615

Phone

(508) 791-8484

Fax

(508) 791-1658

NPI assigned

May 15, 2007

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Pratt Ophthalmology Associates Inc

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1083660534
  NPD (past)
• Worcester Eye Consultants, PC

  • Ophthalmology Physician
  • Worcester, MA
  • NPI 1366434425
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1043426281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LANCASTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092615",
            "telephone_number": "508-791-8484",
            "fax_number": "508-791-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LANCASTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092615",
            "telephone_number": "508-791-8484",
            "fax_number": "508-791-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "ISABEL",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "221923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "178-AA128097",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159937",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "157245",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Balbuena, M.S.C
• Heather Grace Balch
• Zeynep Betul Balcioglu, MD
• William B Balcom, MD
• Kelly Balcourt, RD, LDN, CNSC
• Daniel John Baldor, MD
• Robert A Baldor, M.D.
• Alison Hayley Balducci
• Heather Baldwin
• Jennifer Marie Baldwin

• Ophthalmology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.