Active NPI
Josue Rey Flores Balderas, M.D.
- Internal Medicine Physician
- Fond Du Lac, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 86430
- Practice address
- 210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999 - Phone
- (920) 907-7000
- NPI assigned
- Mar 29, 2017
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 86430 | GA | Primary |
Addresses
Primary practice location
210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860
Phone (678) 490-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090400 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfloresbalderas414196@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 S Pkwy Dr
Brillion, WI 54110-1135
Phone (920) 756-3389
Hospital & facility affiliations
- Aurora Medical Ctr Oshkosh
- Harbor Haven Health & Rehabilitation
- Fond du Lac Lutheran Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86430 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Iora Health, LLC | Internal Medicine | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
210 S Parkway Dr
Brillion, WI 54110
Phone (920) 756-3389
210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Interoperability endpoints
- jfloresbalderas414196@direct.myadvocateaurora.org
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
-
- Skilled Nursing Facility
- Fond Du Lac, WI
- NPI 1649266404
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1831621986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WISCONSIN AMERICAN DR",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549372999",
"telephone_number": "920-907-7000"
}
],
"practiceLocations": [
{
"address_1": "4850 Sugarloaf Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300442860",
"country_code": "US",
"telephone_number": "678-490-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES BALDERAS",
"first_name": "JOSUE",
"middle_name": "REY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "86430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100090400",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfloresbalderas414196@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "210 Wisconsin American Dr",
"city": "Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549372999",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "210 Wisconsin American Dr",
"city": "Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549372999",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.