Active NPI
Eric Christian Ballon-Landa, MD
- Urology Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- DR.0064388
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Jun 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | DR.0064388 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of California, Irvine, California College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - St Louis
- SSM Health Saint Louis University Hospital
- SSM Health St Mary'S Hospital -Centralia
- Good Samaritan Regional HLTH Center
- SSM Health Depaul Hospital St Louis
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0064388 | CO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients |
Locations
6400 Clayton Rd
Ste 201
Saint Louis, MO 63117
Phone (314) 781-8405
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
Interoperability endpoints
- eballonlanda489423@direct-ehr-ssmhc.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1124400403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLON-LANDA",
"first_name": "ERIC",
"middle_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "DR.0064388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.