Individual provider Active NPI

Natalia Ballesteros, M.D.

  • Pediatric Urology Physician
  • Tampa, FL
National Provider Identifier
1487951554
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
ME139913 Issued in FL
Practice address
4712 N Armenia Ave Ste 200
Tampa, FL 33603-2611
Phone
(813) 874-7500
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X ME139913 FL Primary

Addresses

Primary practice location

4712 N Armenia Ave Ste 200
Tampa, FL 33603-2611

Mailing address

4712 N Armenia Ave Ste 200
Tampa, FL 33603-2611
Phone (813) 874-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139913FLMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Urology Group PL Pediatric Urology CurrentSince Apr 9, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

601 5th St S
#602
Saint Petersburg, FL 33701

4712 N Armenia Ave
Ste 200
Tampa, FL 33603
Phone (813) 874-7500

Interoperability endpoints

  • Direct secure messaging: nballesteros189515@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1487951554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 N ARMENIA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032611",
            "telephone_number": "813-874-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 N ARMENIA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032611",
            "telephone_number": "813-874-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "NATALIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME139913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.