Raul Balagtas, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0059469 Issued in FL

Practice address

10330 N Dale Mabry Hwy Ste 201
Tampa, FL 33618-4404

Phone

(813) 961-6633

Fax

(813) 961-7733

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sebring, FL
  • NPI 1003508029
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1558358366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130009",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336810009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-961-6633",
            "fax_number": "813-961-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAGTAS",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Felicia Baker
• Erika June Bakirtzis, APRN
• Bakotic Pathology Associates, LLC
• Priya Bakshi
• Vikhram Balagee, DO
• Anusuyadevi Rajeevi Balaji
• Maya Balakrishnan, M.D.
• Balance Harmony LCC
• Balance Home Health Inc.
• Balanced Health, PLLC

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.