Shanti Balkissoon-Castillo, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

286 Issued in NM

Practice address

8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125

Phone

(505) 717-1274

Fax

(505) 717-1879

NPI assigned

Jun 21, 2005

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

Enrolled in NM

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandia Foot and Ankle of Albuquerque PCGroup PAC ID 8123435864, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shanti.balkissoon-castillo.1@23790.direct.athenahealth.com

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.

• Sandia Foot & Ankle of Albuquerque PC

  • Podiatrist
  • Albuquerque, NM
  • NPI 1891380085

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1063418556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-717-1274",
            "fax_number": "505-717-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-717-1274",
            "fax_number": "505-717-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8224 Louisiana Blvd NE Ste C",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871132108",
            "country_code": "US",
            "telephone_number": "505-717-1274",
            "fax_number": "505-717-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALKISSOON-CASTILLO",
        "first_name": "SHANTI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "77777",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM005433",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79774059",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nandi Baldwin, MA, LMHC, NCC
• Ruth Baldwin
• Kaija Roze Bales
• Tracy Balk, OT
• Morgann Balkcom, LMHC
• Anna E Ball, BCBA
• Emily Ball, MD
• Katelin Ball, DO
• Michelle Ball, LCSW
• Richard Ball, MD

• Foot & Ankle Surgery Podiatrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Foot & Ankle Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.