Individual provider Active NPI

Mayer E Ballas, MD

  • Cardiovascular Disease Physician
  • Forest Hills, NY
National Provider Identifier
1215968318
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
143781 Issued in NY
Practice address
11045 Queens Blvd
Forest Hills, NY 11375-5501
Phone
(718) 520-0001
Fax
(718) 520-2972
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 143781 NY Primary

Addresses

Primary practice location

11045 Queens Blvd
Forest Hills, NY 11375-5501

Mailing address

11045 Queens Blvd
Suite 114
Forest Hills, NY 11375-5501
Phone (718) 520-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000067 NY Practitioner - Nuclear MedicinePractitioner - Cardiovascular Disease (Cardiology) 8022909027 Reassigns benefits to 3 organizations
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Brighton Beach Ave
Brooklyn, NY 11235-8066
Phone (718) 946-7557

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Pediatrics, P.C. CurrentSince Dec 29, 2022 Accepting new patients
Crown Heights Medical, P.C. CurrentSince Dec 29, 2022 Accepting new patients
Alan Goldman MD Steven C Tawil MD PC CurrentSince Mar 2, 2024 Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Cardiovascular Disease Past Accepting new patients
Rockland Nuclear Spect Imaging, P.C. Cardiovascular Disease Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
The Parkway Hospital Past Accepting new patients

Locations

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

130 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 946-7557

314 Bradley Ave
Staten Island, NY 10314
Phone (718) 494-1700

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDHAA/Endpoint/IIDHAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1215968318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD",
            "address_2": "SUITE 114",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755501",
            "telephone_number": "718-520-0001",
            "fax_number": "718-520-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755501",
            "telephone_number": "718-520-0001",
            "fax_number": "718-520-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAS",
        "first_name": "MAYER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "143781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.