Active NPI
Michael Ballard, PA-C
- Physician Assistant
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 319 S Manning Blvd Ste 106
Albany, NY 12208-1743 - Phone
- (518) 438-1019
- NPI assigned
- Jan 7, 2025
- Last updated
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220
319 S Manning Blvd
Albany, NY 12208-1743
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter's Health Partners Medical Associates, P.C. | Physician Assistant | Current | Accepting new patients |
| St. Peter's Health Partners Medical Associates, P.C. | Physician Assistant | Past | Accepting new patients |
Locations
319 S Manning Blvd
Ste 106
Albany, NY 12208
Phone (518) 438-0507
4 Executive Park Dr
Ste 2
Albany, NY 12203
Phone (518) 435-1231
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
2231 Burdett Ave
Ste 160
Troy, NY 12180
Phone (518) 272-1333
Interoperability endpoints
- mballard4060200@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Physician Assistant
-
- Pediatrics Physician
- Slingerlands, NY
- NPI 1669717260
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1407665136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634",
"fax_number": "518-649-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S MANNING BLVD STE 106",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081743",
"telephone_number": "518-438-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-07",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.