David S Ballestas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0044391 Issued in FL

Practice address

2525 Harbor Blvd
Suite 102
Port Charlotte, FL 33952

Phone

(941) 629-7593

Fax

(941) 625-2751

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Fort Myers, FL, CCN 687121
• Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• David S Ballestas MD PA

  • Specialist
  • Port Charlotte, FL
  • NPI 1093901282

  FL

  Medicare reassignment Authorized official
• Medical Pavilion Clinc

  • Preferred Provider Organization
  • Port Charlotte, FL
  • NPI 1063671683
  NPD Authorized official
• Star Distribution USA Corp

  • Preferred Provider Organization
  • Hialeah, FL
  • NPI 1063302479

  General Practice

  NPD Authorized official

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

• Doctor'S Choice Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1205051497
  Care Compare affiliation
• Elite HH SWFL, LLC.

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1811528003
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1609969419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-629-7593",
            "fax_number": "941-625-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-629-7593",
            "fax_number": "941-625-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTAS",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0044391",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0044391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068916500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Elizabeth Baker, APRN
• Sarah Anne Baker, PTA
• Dianne Baldwin, ARNP
• Robert Ball, D.O.
• Arthur R Ballard II, MD
• Nilsa Baptiste
• Karena Glaze Barker, LMSW
• Karin Barney, GPTA
• Laurens Baro Trujillo
• Bernard Baroudi

• All providers in Port Charlotte, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.

Verify at the official NPI Registry.