Active NPI
Laura Megan Balda, M.D.
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1164627766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME99506
- Practice address
- 1000 N Olive Ave
West Palm Beach, FL 33401-3512 - Phone
- (561) 557-1767
- Fax
- (561) 327-5125
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME99506 | FL | Primary |
Addresses
Primary practice location
1000 N Olive Ave
West Palm Beach, FL 33401-3512
Mailing address
1000 N Olive Ave
West Palm Beach, FL 33401-3512
Phone (561) 557-1767
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99506 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerardo Quinonez, M.D., P.a. | Past | Accepting new patients | |
| Blue Zone Health | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Siperstein Dermatology Group, PLLC | Past | Accepting new patients |
Interoperability endpoints
- laura.balda.1@24265.direct.athenahealth.com
- lbalda19298@jupitermedicalcenter.direct-ci.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- West Palm Beach, FL
- NPI 1982001277
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1073533683
-
- Dermatology Physician
- Boynton Beach, FL
- NPI 1609101278
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1164627766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OLIVE AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013512",
"telephone_number": "561-557-1767",
"fax_number": "561-327-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OLIVE AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013512",
"telephone_number": "561-557-1767",
"fax_number": "561-327-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDA",
"first_name": "LAURA",
"middle_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME99506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.