Gory Ballester Ortiz, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

18504 Issued in PR

Practice address

Cond. Jardines Metropolitanos
Tower I Apt. 12E
San Juan, PR 00927-4539

Phone

(787) 630-4735

NPI assigned

Jul 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Diagnostic Radiology

Education

University of Puerto Rico School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oncology and Body Imaging PSCGroup PAC ID 1557790110, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109
• Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• Oncology & Body Imaging PSC

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1699309161
  Medicare reassignment Care Compare group NPD Authorized official
• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe

  • Special Hospital
  • Rio Piedras, PR
  • NPI 1225017916

  Diagnostic Radiology

  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  • Diagnostic Radiology Physician
  • Carolina, PR
  • NPI 1033272349
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1720166325
  Medicare reassignment NPD
• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe

  • Multi-Specialty Clinic/Center
  • San Juan, PR
  • NPI 1801485727
  NPD
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• Simaging Diagnostic & Interventions-Sima

  • Diagnostic Radiology Physician
  • Hato Rey, PR
  • NPI 1942939947
  NPD

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

• Am Acquisition I, LLC

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation
• Centro de Cancer de la Universidad

  • Special Hospital
  • San Juan, PR
  • NPI 1003366527
  Care Compare affiliation
• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1861748618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. JARDINES METROPOLITANOS",
            "address_2": "TOWER I APT. 12E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. JARDINES METROPOLITANOS",
            "address_2": "TOWER I APT. 12E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274539",
            "telephone_number": "787-630-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTER ORTIZ",
        "first_name": "GORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "18504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balanced Chiropractic Center LLC
• Odaly Surey Balasquide Odeh
• Pedro Balbuena Almodovar
• Karem Balentine
• Harry Louis Ballester Oms
• Veroushka Ballester Vargas, M.D.
• Juan Antonio Ballester-Maldonado
• Vanessa Ileana Ballester, R.PH.
• Alexandra Marie Balsalobre Velez
• Maria de Los Angeles Balzac, M.D.

• Diagnostic Radiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.