Ulises Baltazar, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

M1016 Issued in TX

Practice address

16605 Southwest Fwy
Suite 505
Sugar Land, TX 77479-3501

Phone

(281) 240-8400

Fax

(281) 240-8405

NPI assigned

Jul 21, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ubaltazar21315@direct.houstonmethodist.org

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.

• Southern Texas Physicians Network Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Conroe, TX
  • NPI 1538104351
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1124048954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3567",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533567",
            "telephone_number": "713-790-5227",
            "fax_number": "713-790-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 505",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-240-8400",
            "fax_number": "281-240-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "ULISES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M1016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178806902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G5887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanese Baldridge
• Abigail Ballard
• Melodie Hope Ballman, R NCST, CNIM
• Balm N Body Health and Wellness Clinic LLC
• Bisma Baloch, MD
• Bambata Holdings LLC
• Adeleke Bamiro, NURSE PRACTITIONER
• Efrance N Bampikaho
• Bancroft Feldman Plastic Surgery, PLLC
• Gregory Nelson Bancroft, MD PHD

• Vascular Surgery Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.