Active NPI
Ruben F Ballesteros, M.D.
- Surgical Technologist
- Baltimore, MD
National Provider Identifier
1740286368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- D0015194
- Practice address
- 7401 Osler Dr
Ste 208
Baltimore, MD 21204-7622 - Phone
- (410) 823-3885
- Fax
- (410) 823-6888
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | D0015194 | MD | Primary |
Addresses
Primary practice location
7401 Osler Dr
Ste 208
Baltimore, MD 21204-7622
Mailing address
7401 Osler Dr
Ste 208
Baltimore, MD 21204-7622
Phone (410) 823-3885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30218001 | Other | MD | CAREFIRST BLUE SHIELD |
| 520913207 | Other | MD | CORP. TAX ID |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0015194 | MD | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Wilhelmsen & Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Baltimore, MD
- NPI 1326163585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1740286368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 OSLER DR",
"address_2": "STE 208",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212047622",
"telephone_number": "410-823-3885",
"fax_number": "410-823-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 OSLER DR",
"address_2": "STE 208",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212047622",
"telephone_number": "410-823-3885",
"fax_number": "410-823-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLESTEROS",
"first_name": "RUBEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "MD",
"license": "D0015194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE SHIELD",
"identifier": "30218001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP. TAX ID",
"identifier": "520913207",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.