Individual provider Active NPI

Ann E Ballen, MD

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1760481022
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME47233 Issued in FL
Practice address
8501 SW 124TH Ave
109
Miami, FL 33183
Phone
(305) 271-4544
Fax
(305) 274-9668
NPI assigned
Jul 19, 2005
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0047233 FL
Ophthalmology Physician 207W00000X ME47233 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave
109
Miami, FL 33183

Mailing address

8501 SW 124TH Ave
109
Miami, FL 33183-4627
Phone (305) 271-4544

Other identifiers 1

IdentifierTypeStateIssuer
043855300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100624000970 FL Practitioner - Ophthalmology 5294866950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kendall Eye Institute IncGroup PAC ID 2769562560, 4 clinicians

Practice addresses (Care Compare)

8501 SW 124 Ave
Suite 109
Miami, FL 33183-4631
Phone (305) 271-4544

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Eye Institute Inc Specialist CurrentSince Apr 13, 2013 Accepting new patients

Locations

8501 SW 124th Ave
Ste 109
Miami, FL 33183
Phone (305) 271-4544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1760481022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE",
            "address_2": "109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834627",
            "telephone_number": "305-271-4544",
            "fax_number": "305-274-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE",
            "address_2": "109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "305-271-4544",
            "fax_number": "305-274-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEN",
        "first_name": "ANN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0047233",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME47233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043855300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.