NPIMap

Individual provider Active NPI

Daniel Z Balmaceda, M.D.

  • Pulmonary Disease Physician
  • Overland Park, KS
National Provider Identifier
1104919588
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0428744 Issued in KS
Practice address
10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2306
Phone
(913) 599-3800
Fax
(913) 599-3854
NPI assigned
Sep 30, 2006
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0428744 KS Primary

Addresses

Primary practice location

10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2306

Mailing address

PO Box 12035
Kansas City, KS 66112-0035
Phone (913) 599-3800

Other identifiers 3

IdentifierTypeStateIssuer
100372270DMedicaidKS
1104919588MedicaidMO
100372270GMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DANIEL.BALMACEDA@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0428744KSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Pulmonary and Sleep Specialists Chartered Pulmonary Disease Past Accepting new patients
Overland Park Medical Specialists, LLC PastSince Jul 1, 2015 Accepting new patients
Meritas Health Corporation Pulmonary Disease Past Accepting new patients
Kansas City Urology Care, P.a. PastSince Jul 1, 2021 Accepting new patients
Ascentist Physicians Group, LLC Pulmonary Disease PastSince Dec 29, 2015 Accepting new patients
Pulmonary Medicine Assoc P C Pulmonary Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniel.balmaceda@hca2.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104919588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12035",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120035",
            "telephone_number": "913-599-3800",
            "fax_number": "913-599-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD",
            "address_2": "SUITE 335",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-599-3800",
            "fax_number": "913-599-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMACEDA",
        "first_name": "DANIEL",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "0428744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100372270D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104919588",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100372270G",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DANIEL.BALMACEDA@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10550 Quivira Rd",
            "address_2": "SUITE 335",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.