David W Ball, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3980 Issued in TX

Practice address

5407 New Copeland Rd Ste 200
Tyler, TX 75703

Phone

(903) 330-2081

NPI assigned

Sep 21, 2006

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 2, 2023 through Mar 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• David W Ball MD Internal Medicine PLLC

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1083100788
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1144329087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033951",
            "telephone_number": "903-330-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-330-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Roseland Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014246",
            "country_code": "US",
            "telephone_number": "903-533-0644 x216",
            "fax_number": "903-592-7849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5407 New Copeland Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757033951",
            "country_code": "US",
            "telephone_number": "903-330-2081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Roseland Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014246",
            "country_code": "US",
            "telephone_number": "903-533-0644 x216",
            "fax_number": "903-592-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88733Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Suzanne Baker
• Noel Susan Baker, MD
• Grant Baldwin, LPC
• Mary Baldwin, NP
• Corey D Ball, M.D.
• Jessica Ballek
• Balm in Gilead Home Health Services, Inc. (NA)
• Abigail T Balogun, AUD, CCC/A
• Karina Banda-Mancilla
• Harold Richie Bandalan, CRNA

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.