Individual provider Active NPI

Yves Ebonga Balikosa

  • Surgery Physician
  • Galveston, TX
National Provider Identifier
1386572071
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BP10098943 Issued in TX
Practice address
301 University Blvd Galveston
Galveston, TX 77555-0541
Phone
(409) 772-1369
NPI assigned
May 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10098943 TX Primary

Addresses

Primary practice location

301 University Blvd Galveston
Galveston, TX 77555-0541

Mailing address

301 University Blvd Galveston
Galveston, TX 77555-0541
Phone (409) 772-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260519001349 TX Order and Referring Only - General SurgeryPractitioner - General Surgery 3476022583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP10098943TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1386572071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD GALVESTON",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550541",
            "telephone_number": "409-772-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD GALVESTON",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550541",
            "telephone_number": "409-772-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIKOSA",
        "first_name": "YVES",
        "middle_name": "EBONGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10098943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.