Dana S Balderrama, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

04-48701 Issued in KS

Practice address

2902 SW Asbury Dr
Topeka, KS 66614-4466

Phone

(785) 354-9591

Fax

(785) 327-4142

NPI assigned

Jun 6, 2006

Last updated

Apr 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cotton-O'Neil Clinic Revocable TrustGroup PAC ID 5496659195, 659 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbalderrama135533@stormontvaildirect.org
• Direct secure messaging: qra9413@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cotton-O'Neil Clinic Revocable Trust

  dba Cotton O'Neil

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1811944457
  Medicare reassignment Care Compare group NPD
• Cotton-O'Neil Clinic Revocable Trust

  dba Stormont Vail Health DME

  • Durable Medical Equipment & Medical Supplies
  • Topeka, KS
  • NPI 1700076015
  NPD
• Burt Faibisoff, MD, PLLC

  • Plastic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1336396761
  NPD (past)
• Truecare Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1063051936
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Stormont-Vail Healthcare Inc

  dba Stormont Vail Hospital

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1326087206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 SW ASBURY DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144466",
            "telephone_number": "785-354-9591",
            "fax_number": "785-327-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 SW ASBURY DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144466",
            "telephone_number": "785-354-9591",
            "fax_number": "785-327-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Research Park Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665025000",
            "country_code": "US",
            "telephone_number": "785-368-0708",
            "fax_number": "785-368-0766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDERRAMA",
        "first_name": "DANA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-48701",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "32551",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "32551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857625",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005054300001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Baker, MD
• Tauna Marie Baker, LMSW
• Timothy Allen Baker
• Zackery Baker
• James P Balch, PA-C
• Gary Brandon Ball
• Nicole Dinay Ball, PMHNP-BC
• Valerie Ann Ball, CPTA
• Carson James Baltazar, DDS
• Danielle L. Balthazor, APRN

• Plastic Surgery Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.

Verify at the official NPI Registry.