Individual provider Active NPI

Michael Joe Balderamos, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Weatherford, TX
National Provider Identifier
1821355868
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
R3999 Issued in TX
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

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907000018 TX Practitioner - Anesthesiology 4284858333 Reassigns benefits to 1 organization

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
Lone Star Pain InstituteGroup PAC ID 1951363712, 4 clinicians

Practice addresses (Care Compare)

907 Eureka St
Suite B
Weatherford, TX 76086-5880
Phone (817) 599-4901

Hospital & facility affiliations

  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as individual
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

LicenseStateTypeSpecialty
R3999TXMDPain 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.