David S Ballestas MD PA
NPI 1093901282ActiveOrganization· Specialist· Port Charlotte, FL
Specialist in Port Charlotte, Florida, registered in NPPES in September 2007. The authorized official on file is David S. Ballestas, M.D., Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093901282 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2007 |
| Last updated in NPPES | May 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | H87694 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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