Individual provider Active NPI

Donald Abraham Ballah

  • Acute Care Nurse Practitioner
  • Wyndmoor, PA
National Provider Identifier
1710858816
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
STUDENT Issued in PA
Practice address
8765 Stenton Ave
Wyndmoor, PA 19038-8317
Phone
(215) 836-2440
Fax
(215) 836-2448
NPI assigned
Sep 13, 2025
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X STUDENT PA Primary

Addresses

Primary practice location

8765 Stenton Ave
Wyndmoor, PA 19038-8317

Mailing address

8765 Stenton Ave
Wyndmoor, PA 19038-8317
Phone (215) 836-2440

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
STUDENTPAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1710858816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388317",
            "telephone_number": "215-836-2440",
            "fax_number": "215-836-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388317",
            "telephone_number": "215-836-2440",
            "fax_number": "215-836-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAH",
        "first_name": "DONALD ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-13",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.