Individual provider Active NPI

Diana Balsalobre, M.D.

  • Neurology Physician
  • Apopka, FL
National Provider Identifier
1194949503
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME129499 Issued in FL
Practice address
201 N Park Ave Ste 201
Apopka, FL 32703-4147
Phone
(407) 889-1199
Fax
(407) 889-1193
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13712 PR
Neurology Physician 2084N0400X ME129499 FL Primary

Addresses

Primary practice location

201 N Park Ave Ste 201
Apopka, FL 32703-4147

Mailing address

201 N Park Ave Ste 201
Apopka, FL 32703-4147
Phone (407) 889-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20120912000814 PR Practitioner - Neurology 4688822869 Practice locations: Guaynabo, PR
I20170318000021 FL Practitioner - Neurology 4688822869 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129499FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 6, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 6, 2017 Accepting new patients

Locations

201 N Park Ave
Ste 201
Apopka, FL 32703
Phone (407) 814-2680

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

265 E Rollins St
Ste 12000
Orlando, FL 32804

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14311/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1194949503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE STE 201",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-889-1199",
            "fax_number": "407-889-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE STE 201",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-889-1199",
            "fax_number": "407-889-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSALOBRE",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "13712",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME129499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.