Individual provider Active NPI

Claudia Balderrama, MD

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1740845239
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0101291 Issued in MD
Practice address
250 N Calvert St
Baltimore, MD 21202-3505
Phone
(410) 332-9528
Fax
(410) 385-9383
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0101291 MD Primary

Addresses

Primary practice location

250 N Calvert St
Baltimore, MD 21202-3505

Mailing address

250 N Calvert St
Baltimore, MD 21202-3505
Phone (410) 332-9528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240717000042 CA Practitioner - General Practice 2264977032 Practice locations: Santa Barbara, CA
I20240906001289 MD Practitioner - General Surgery 2264977032 Reassigns benefits to 1 organization
I20250115000373 PA Practitioner - General Surgery 2264977032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Dec 2, 2024 Accepting new patients
St Paul Place Specialists Inc CurrentSince Aug 9, 2024 Accepting new patients
St Paul Place Specialists, Inc. Surgery CurrentSince Aug 9, 2024 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

250 N Calvert St
Baltimore, MD 21202
Phone (410) 332-9528

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 240
Chester, PA 19013
Phone (610) 541-7927

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1740845239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023505",
            "telephone_number": "410-332-9528",
            "fax_number": "410-385-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023505",
            "telephone_number": "410-332-9528",
            "fax_number": "410-385-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERRAMA",
        "first_name": "CLAUDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0101291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.