Manuel Balderas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

263953 Issued in MA

Practice address

41 Mall Rd
Burlington, MA 01805-3509

Phone

(781) 744-8000

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Psychiatry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifepoint Behavioral Health Physician Services, LLCGroup PAC ID 7012370489, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifepoint Behavioral Health Physician Services LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Holyoke, MA
  • NPI 1851075378

  Addiction Medicine, MA

  Medicare reassignment Care Compare group NPD
• Physicians of Cape Cod Hospital

  • Neuroradiology Physician
  • Hyannis, MA
  • NPI 1679832364

  MA

  Medicare reassignment NPD
• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329

  MA, Psychiatry

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219

  MA

  Medicare reassignment NPD
• Uhs of Westwood Pembroke Inc

  • Psychiatric Hospital
  • Westwood, MA
  • NPI 1760453328

  MA

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Lifepoint Behavioral Health Physician Services LLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1427815554

  Psychiatry

  NPD
• Western Massachusetts Behavioral Hospital LLC

  • Psychiatric Hospital
  • Holyoke, MA
  • NPI 1679279129
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1851404545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 WOOD PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491922",
            "telephone_number": "210-617-5130",
            "fax_number": "210-617-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018053509",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17720 Corporate Woods Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782593509",
            "country_code": "US",
            "telephone_number": "210-858-8891",
            "fax_number": "210-858-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "L0011",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "L0011",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "263953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "1408884-02",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenelle Lynn Baker, NP
• Nancy D. Baker, M.D.
• Richard A. Baker, M.D.
• Mena M Bakhit, M.D.
• Henri Balaguera, M.D.
• Elizabeth Baldino, NP
• Marissa E Baltus, MD
• Vigyan Bang, M.D.
• Marie Bangura, MD
• Kelsy Banin, MS, BCBA, LABA

• Psychiatry Physician in Burlington, MA
• Providers in Burlington, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.

Verify at the official NPI Registry.