Individual provider Active NPI

Laura Megan Balda, M.D.

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1164627766
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99506 Issued in FL
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

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99506FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Nov 26, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.balda.1@24265.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.