Active NPI
Efren Gonzalo Cesar Balbin, ARNP
- Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2911452
- Practice address
- 14019 Entrada Dr
Orlando, FL 32837-4779 - Phone
- (407) 928-0751
- NPI assigned
- Nov 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2911452 | FL | Primary |
Addresses
Primary practice location
14019 Entrada Dr
Orlando, FL 32837-4779
Mailing address
14019 Entrada Dr
Orlando, FL 32837-4779
Phone (407) 928-0751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5900 Lake Ellenor Dr
Suite 700
Orlando, FL 32809-4643
Phone (407) 352-2542
Hospital & facility affiliations
- Towers Home Care
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2911452 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopa LLC | Current | Accepting new patients | |
| Post Acute Specialists of Florida PLLC | Nurse Practitioner | Current | Accepting new patients |
| Jacob Medical Associates LLC | Current | Accepting new patients |
Locations
2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400
5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101
14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670
508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770
2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060
Interoperability endpoints
- https://api.platform.athenahealth.com/819/brand/1/csg/1/fhir/r4
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.
-
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1417021114
-
- Geriatric Medicine (Internal Medicine) Physician
- Clermont, FL
- NPI 1174714414
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1992571608
Nurse Practitioner
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Orlando, FL
- NPI 1922171107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447545600000",
"number": "1124492129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14019 ENTRADA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328374779",
"telephone_number": "407-928-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14019 ENTRADA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328374779",
"telephone_number": "407-928-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBIN",
"first_name": "EFREN GONZALO",
"middle_name": "CESAR",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-15",
"last_updated": "2015-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2911452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.