Carlos Eduardo Ballesteros, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

S4097 Issued in TX

Practice address

1211 N Raul Longoria Rd Ste C
San Juan, TX 78589-3714

Phone

(956) 782-7878

Fax

(956) 782-7877

NPI assigned

May 1, 2015

Last updated

Dec 17, 2021By the provider in NPPES

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 TX, NM2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

82.35

Promoting interoperability

100

Improvement activities

40

Cost

76.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cballesteros240701@direct.phs.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

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.

• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Alberto D Duran M.D P.a.

  • Obstetrics & Gynecology Physician
  • San Juan, TX
  • NPI 1134381098
  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Edgar a Rodriguez MD PA

  • Obstetrics & Gynecology Physician
  • San Juan, TX
  • NPI 1669260840
  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Columbia Rio Grande Healthcare, L.P.

  dba Rio Grande Regional Hospital

  • General Acute Care Hospital
  • McAllen, TX
  • NPI 1619924719
  NPD (past)
• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  NPD (past)
• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  NPD (past)

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

• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  Care Compare affiliation

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1912384686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N RAUL LONGORIA RD STE C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893714",
            "telephone_number": "956-782-7878",
            "fax_number": "956-782-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N RAUL LONGORIA RD STE C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893714",
            "telephone_number": "956-782-7878",
            "fax_number": "956-782-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chukwunonso Jideofor Azikiwe
• Azuart DME LLC
• Baca Family Practice PLLC
• Americo M Baca, M.D.
• Thomas Boake Ball
• Jaqueline Aide Barrera
• Basiouni Basiouni, MD
• Behavioral and Consultant Nurses of South Texas LLC (Esperanza Community Behavioral Health Center of San Juan)
• Bella Vida DME , LLC.
• Diana Marilyn Beltran, LPC

• Obstetrics & Gynecology Physician in San Juan, TX
• Providers in San Juan, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.