Individual provider Active NPI

Ofelia Balagtas-Balmaseda, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Terre Haute, IN
National Provider Identifier
1861542565
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
10037984 Issued in IN
Practice address
4812 S 7TH St
Terre Haute, IN 47802-4502
Phone
(812) 299-7422
Fax
(812) 299-1683
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 10037984 IN Primary

Addresses

Primary practice location

4812 S 7TH St
Terre Haute, IN 47802-4502

Mailing address

830 E Gilchrist Dr
Terre Haute, IN 47802-4740
Phone (812) 299-7422

Other identifiers 3

IdentifierTypeStateIssuer
22000000105419OtherINBLUE CROSS BLUE SHIELD
200006770AMedicaidIN
10780112OtherINCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120327000722 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4981864055 Practice locations: Sullivan, IN; Terre Haute, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10037984INMDPain Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1861542565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E GILCHRIST DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024740",
            "telephone_number": "812-299-7422",
            "fax_number": "812-299-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024502",
            "telephone_number": "812-299-7422",
            "fax_number": "812-299-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAGTAS-BALMASEDA",
        "first_name": "OFELIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "10037984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22000000105419",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006770A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10780112",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.