Natraj Nidamboor Ballal, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0069549 Issued in FL

Practice address

2727 W Martin Luther King Blvd
Suite 620
Tampa, FL 33607

Phone

(813) 874-1662

Fax

(813) 879-5064

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: nballal8066@direct.tgh.org

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.

• Bay Pediatric Cardiology Inc

  • Specialist
  • Tampa, FL
  • NPI 1568450385
  Medicare reassignment NPD Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Timothy M Bradley MD Pediatric Orthopedic Surgeon PA

  • Pediatric Orthopaedic Surgery Physician
  • Brandon, FL
  • NPI 1508264938
  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": "1277942400000",
    "number": "1659369478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE 620",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-874-1662",
            "fax_number": "813-879-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE 620",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-874-1662",
            "fax_number": "813-879-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAL",
        "first_name": "NATRAJ",
        "middle_name": "NIDAMBOOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0069549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanah Mary-Ana Ball
• Kendal Ball, PA
• Marijesmar Gonzalez Ball, MD
• Mirjam Ball, APRN
• Ray L Ball, D.V.M.
• Dana Leigh Ballard, PA-C
• Katrina U Ballard
• Marguerite Ballard
• Shannon Ballard, BS
• Eduardo Ballestas, M.D.

• 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 Jul 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.