Dagoberto Balderas, DO, PLLC
NPI 1457974065ActiveOrganization· General Practice· Austin, TX
General Practice in Austin, Texas, registered in NPPES in May 2020. The authorized official on file is Dagoberto Balderas, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457974065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2020 |
| Last updated in NPPES | Jul 6, 2020 |
| Certified by provider | Jul 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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