Individual provider Active NPI

Maria Josefa Balerdi, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1699175570
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5077 Issued in TX
Practice address
5566 Cedar Creek Dr
Suite Number 100
Houston, TX 77056-2308
Phone
(713) 589-9159
Fax
(713) 877-1172
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5077 TX Primary

Addresses

Primary practice location

5566 Cedar Creek Dr
Suite Number 100
Houston, TX 77056-2308

Mailing address

5566 Cedar Creek Dr
Suite Number 100
Houston, TX 77056-2308
Phone (713) 589-9159

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
J5077TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1699175570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5566 CEDAR CREEK DR",
            "address_2": "SUITE NUMBER 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562308",
            "telephone_number": "713-589-9159",
            "fax_number": "713-877-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5566 CEDAR CREEK DR",
            "address_2": "SUITE NUMBER 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562308",
            "telephone_number": "713-589-9159",
            "fax_number": "713-877-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALERDI",
        "first_name": "MARIA",
        "middle_name": "JOSEFA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.