BALAISHE BOAKAI BALLO
NPI 1003672346
Nurse Anesthetist, Certified Registered in Camden, NJ
About Balaishe Boakai Ballo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALAISHE BOAKAI BALLO (NPI 1003672346) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (26NJ15034400) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and maintains a secondary practice location in Camden.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Balaishe Boakai Ballo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Balaishe Ballo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 89 clinicians in this Medicare group
Haddon Township, NJ 08108
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Chadds Ford, PA 19317
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Virtua Our Lady Of Lourdes Hospital
Acute Care Hospitals · Camden, NJVirtua Mount Holly Hospital
Acute Care Hospitals · Mount Holly, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMDEN, NJ 08103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Balaishe Ballo's NPI number?
The NPI number for Balaishe Ballo is 1003672346. It was assigned to this individual provider in the NPPES registry on February 26, 2024.
Where is Balaishe Ballo located?
Balaishe Ballo practices at 1600 Haddon Ave Fl 3, Camden, NJ 08103. The listed phone number is (856) 988-6260.
What is Balaishe Ballo's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Balaishe Ballo enrolled in Medicare?
Yes. Balaishe Ballo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Balaishe Ballo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Balaishe Ballo reassigns Medicare benefits to 3 organizations: Mid-Atlantic Anesthesia Associates PA (Camden, NJ), Virtua Medical Group, PA (Haddon Township, NJ) and Associates In Anesthesia, Inc. (Chadds Ford, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Balaishe Ballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Balaishe Ballo affiliated with any hospitals?
According to CMS data, Balaishe Ballo is affiliated with Virtua Our Lady Of Lourdes Hospital and Virtua Mount Holly Hospital.
When was this NPI record last updated?
The NPPES record for Balaishe Ballo was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Balaishe Boakai Ballo · NPI 1003672346
Nurse Anesthetist, Certified Registered physician in Camden, New Jersey. Individual provider, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1003672346 (Entity type: Individual)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 26NJ15034400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 HADDON AVE FL 3, Camden, NJ 08103-3101
- **Phone:** (856) 988-6260 · **Fax:** (856) 988-6270
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mid-Atlantic Anesthesia Associates PA (NPI 1366486508, Camden, NJ); Virtua Medical Group, PA (NPI 1932659778, Haddon Township, NJ); Associates In Anesthesia, Inc. (NPI 1942281191, Chadds Ford, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003672346) · Data from the CMS NPPES public registry.