NPIMap

Individual provider Active NPI

Virginia Marian Balderston, M.D.

  • Internal Medicine Physician
  • Gibsonia, PA
National Provider Identifier
1487632311
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045329L Issued in PA
Practice address
5318 Ranalli Dr
Gibsonia, PA 15044-9653
Phone
(724) 449-9355
Fax
(724) 449-2727
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD045329L PA Primary

Addresses

Primary practice location

5318 Ranalli Dr
Gibsonia, PA 15044-9653

Mailing address

5318 Ranalli Dr
Gibsonia, PA 15044-9653
Phone (724) 449-9355

Other identifiers 1

IdentifierTypeStateIssuer
001536060000MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000714 PA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2365345899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

5318 Ranalli Dr
Gibsonia, PA 15044-9653
Phone (724) 449-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045329LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jan 1, 2022 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Healthquest Medical Associates Current Accepting new patients
Upmc Community Medicine, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Locations

5318 Ranalli Dr
Gibsonia, PA 15044
Phone (724) 449-9355

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

532 S Aiken Ave
Ste 201
Pittsburgh, PA 15232
Phone (412) 422-4332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEAJBA/Endpoint/DEAJBA
  • Direct secure messaging: virginia.m.balderston@upmcdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1487632311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 RANALLI DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449653",
            "telephone_number": "724-449-9355",
            "fax_number": "724-449-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 RANALLI DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449653",
            "telephone_number": "724-449-9355",
            "fax_number": "724-449-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERSTON",
        "first_name": "VIRGINIA",
        "middle_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD045329L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001536060000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.