Jose Balboa Blanco, SURGICAL ASSISTANT
NPI 1902252125ActiveIndividual· Physician Assistant, Surgical· Mokena, IL
Physician Assistant, Surgical (SURGICAL ASSISTANT) in Mokena, Illinois, licensed in IL and CO, with an NPI issued in May 2016. Davol Inc. reported $26.65 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1902252125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SURGICAL ASSISTANT |
| Sole proprietor | Yes |
| NPI issued | May 6, 2016 |
| Last updated in NPPES | Jun 7, 2025 |
| Certified by provider | Jun 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 238.000547 | IL |
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | 15-483 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$26.65 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $26.65 | 2 |
What the 2024 payments were for
- Food and Beverage$26.65 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 29 surgical physician assistants in Mokena · All surgical physician assistants in Illinois