Active NPI
Michael Joe Balderamos, M.D.
- Pain Medicine (Anesthesiology) Physician
- Weatherford, TX
National Provider Identifier
1821355868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- R3999
- Practice address
- 907 Eureka St Ste B
Weatherford, TX 76086-5880 - Phone
- (817) 598-8150
- Fax
- (817) 599-4902
- NPI assigned
- Apr 16, 2012
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | R3999 | TX | Primary |
Addresses
Primary practice location
907 Eureka St Ste B
Weatherford, TX 76086-5880
Mailing address
907 Eureka St Ste B
Weatherford, TX 76086-5880
Phone (817) 598-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
907 Eureka St
Suite B
Weatherford, TX 76086-5880
Phone (817) 599-4901
Hospital & facility affiliations
- Medical City Weatherford
- Graham Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.35 of 100
- Quality
- 92.86
- Improvement activities
- 40
- Cost
- 65.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3999 | TX | MD | Pain Medicine (Anesthesiology) Physician |
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.
-
- Interventional Pain Medicine Physician
- Weatherford, TX
- NPI 1346235967
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Graham, TX
- NPI 1063113983
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1821355868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 EUREKA ST STE B",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865880",
"telephone_number": "817-598-8150",
"fax_number": "817-599-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 EUREKA ST STE B",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865880",
"telephone_number": "817-598-8150",
"fax_number": "817-599-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDERAMOS",
"first_name": "MICHAEL",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "R3999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.