Jeeathbell Nonesupplied Balbastro, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

BP10019928 Issued in TX

Practice address

500 Tiki Dr Apt 204
Galveston, TX 77554-7152

Phone

(409) 763-4135

NPI assigned

Jun 14, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in TX, ME2 enrollments

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.

Enrollment records 2

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apogee Medical Group Maine PCGroup PAC ID 8527415462, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Bangor, ME, CCN 200001
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apogee Medical Group Maine PC

  • Internal Medicine Physician
  • Bangor, ME
  • NPI 1659152742
  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment NPD
• Victoria Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1407917164
  Medicare reassignment NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment
• Seton Family of Doctors

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1164626768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TIKI DR APT 204",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775547152",
            "telephone_number": "409-763-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TIKI DR APT 204",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775547152",
            "telephone_number": "409-763-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBASTRO",
        "first_name": "JEEATHBELL",
        "middle_name": "NONESUPPLIED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10019928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2587002690-COMMERCIAL NUMBER",
            "identifier": "2587002690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olen Christopher Baker, M.D.
• Paul Douglas Baker Jr.
• Riley William Baker, MD
• Shivaiah Balachandra, MD
• Suppiah Balachandran, M.D.
• Yves Ebonga Balikosa
• Deanna Lynn Ball, LPC, LCDC
• Abigail Nicole Baltazar, MSN, APRN, AGPCNP-BC
• Touka Banaee, MD
• Roger Banda Jr., MD

• Internal Medicine Physician in Galveston, TX
• Providers in Galveston, 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 Jul 1, 2008; 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.

Verify at the official NPI Registry.