Individual provider Active NPI

Morris Robert Ballard, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1881716256
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G017510 Issued in CA
Practice address
1115 Whiskeytown CT # B
Redding, CA 96001-0227
Phone
(530) 244-9750
Fax
(530) 244-0960
NPI assigned
Apr 4, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G017510 CA Primary

Addresses

Primary practice location

1115 Whiskeytown CT # B
Redding, CA 96001-0227

Mailing address

1115 Whiskeytown CT # B
Redding, CA 96001-0227
Phone (530) 244-9750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081230000437 CA Practitioner - Family Practice 2567524473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 Whiskeytown CT
Suite B
Redding, CA 96001-0232
Phone (530) 244-9750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement57
Spinal fusion1-10
Prostate resection1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G017510CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballard Medical Corporation Family Medicine CurrentSince Jun 29, 1982 Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients
James D. Tate, M.D. Past Accepting new patients

Locations

1115 Whiskeytown Ct
Ste B
Redding, CA 96001
Phone (530) 244-9750

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881716256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WHISKEYTOWN CT # B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-244-9750",
            "fax_number": "530-244-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WHISKEYTOWN CT # B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-244-9750",
            "fax_number": "530-244-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MORRIS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G017510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.