Active NPI
Balimedi Medical Group PA
- Family Medicine Physician
- Jonestown, TX
National Provider Identifier
1568367522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BALIMEDI MEDICAL GROUP PA
- Practice address
- 4916 Destination Way
Jonestown, TX 78645-2424 - Phone
- (504) 338-4979
- Fax
- (504) 338-4979
- NPI assigned
- Oct 10, 2026
- Last updated
- Oct 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Pellegrin
- Title
- President
- Phone
- (504) 338-4979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
4916 Destination Way
Jonestown, TX 78645-2424
Mailing address
4916 Destination Way
Jonestown, TX 78645-2424
Phone (504) 338-4979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791590400000",
"number": "1568367522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 DESTINATION WAY",
"city": "JONESTOWN",
"state": "TX",
"postal_code": "786452424",
"telephone_number": "504-338-4979",
"fax_number": "504-338-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4916 DESTINATION WAY",
"city": "JONESTOWN",
"state": "TX",
"postal_code": "786452424",
"telephone_number": "504-338-4979",
"fax_number": "504-338-4979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALIMEDI MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-10",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A",
"authorized_official_last_name": "PELLEGRIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-338-4979",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonestown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.