Active NPI
Jennifer Ballinger, MD
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 265780-1
- Practice address
- 450 Clarkson Ave # 1228
Dept of Emergency Medicine
Brooklyn, NY 11203-2012 - Phone
- (718) 245-4795
- NPI assigned
- Oct 17, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125-064394 | IL | |
| Internal Medicine Physician | 207R00000X | 125-064394 | IL | |
| Emergency Medicine Physician | 207P00000X | 265780-1 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | A111025 | CA |
Addresses
Primary practice location
450 Clarkson Ave # 1228
Dept of Emergency Medicine
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave # 1228
Dept of Emergency Medicine
Brooklyn, NY 11203-2012
Phone (718) 245-4795
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265780-1 | Other | NY | NY MEDICAL LICENSE |
| A111025 | Other | CA | CA MEDICAL LICENSE |
| 125-064394 | Other | IL | STATE LISCENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120215000925 | CA | Practitioner - Emergency Medicine | 5991963209 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Chicago, Pritzker School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University ofHigh Desert Medical Corporation
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984
Hospital & facility affiliations
- Uci Health-Orange
- Uci Health-Lakewood
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
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 |
|---|---|---|---|
| A111025 | CA | MD | Emergency Medicine Physician |
| 125-064394 | IL | MD | Emergency Medicine Physician |
| 265780-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Intercommunity Emergency Medical Group | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of | Emergency Medicine | Current | Accepting new patients |
| High Desert Medical Group | Internal Medicine | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
3700 South St
Lakewood, CA 90712
Phone (562) 424-2900
43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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
- Lancaster, CA
- NPI 1720196702
CA, Internal Medicine
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1154379394
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1871535286
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1043684764
Emergency Medicine
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1174775449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 1228",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-245-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 1228",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-245-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLINGER",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125-064394",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-064394",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "265780-1",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A111025",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAL LICENSE",
"identifier": "265780-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "A111025",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE NUMBER",
"identifier": "125-064394",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.