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DR. LUISA FERNANDA LORENA EDITH GONZALEZ BALLESTEROS M.D.
NPI 1033367016
Pediatrics in New York, NY

Active since September 03, 2008PECOS Enrolled
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITAL, NEW YORK, NY 10075(212) 434-2135(212) 434-3374 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2019, Mar 17, 2017 (2 updates tracked since 2017).

About Dr. Luisa Fernanda Lorena Edith Gonzalez Ballesteros M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUISA FERNANDA LORENA EDITH GONZALEZ BALLESTEROS M.D. (NPI 1033367016) is an individual pediatrics provider in New York, New York, licensed in New York (262852) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033367016
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LUISA FERNANDA LORENA EDITH GONZALEZ BALLESTEROSCredential: M.D.
Location Address130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITALNew York, NY 10075-1851
Mailing Address130 E 77th St, Department Of PediatricsNew York, NY 10075-1851 · (212) 434-2135
Phone(212) 434-2135
Fax(212) 434-3374
Sole ProprietorNo
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
✔ NPI 1033367016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 262852
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 262852 (NY)
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X · License 262852 (NY)
130 E 77TH ST, New York, NY 10075
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Other Names 1

Professional Name (2)Dr. Luisa Fernanda Gonzalez Ballesteros Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luisa Fernanda Lorena Edith Gonzalez Ballesteros M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Luisa Fernanda Gonzalez Ballesteros reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Affiliate Group Of New York PC
3.0 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
North Shore - Lij Medical PC
13 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. CHAD KLIGER M.D.
Internal Medicine
130 E 77TH ST, 9TH FLOOR BLACK HALL
NEW YORK, NY 10075
New York County (212) 434-6456
AARON SIMON ZELIKOVICH
Psychiatry & Neurology (Neuromuscular Medicine)
130 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-6400
ADIN REISNER MD
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2150
SEEMA PATEL DO
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
MATTHEW HO MD
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-4763
DR. AUDREY ROSINBERG MD
Surgery (Vascular Surgery)
130 E 77TH ST, 13TH FLOOR
NEW YORK, NY 10075
New York County (212) 434-3420
MICHELLE GRAHAM CCC-SLP
Speech-Language Pathologist
130 E 77TH ST, 10TH FLOOR, NYHNI
NEW YORK, NY 10075
New York County (212) 434-4500
KELLY TYSON DO
Internal Medicine
130 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000

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 Luisa Fernanda Gonzalez Ballesteros's NPI number?

The NPI number for Luisa Fernanda Gonzalez Ballesteros is 1033367016. It was assigned to this individual provider in the NPPES registry on September 3, 2008. The provider is also known as Dr. Luisa Fernanda Gonzalez Ballesteros MD.

Where is Luisa Fernanda Gonzalez Ballesteros located?

Luisa Fernanda Gonzalez Ballesteros practices at 130 E 77th St Department Of Pediatrics, Lenox Hill Hospital, New York, NY 10075. The listed phone number is (212) 434-2135.

What is Luisa Fernanda Gonzalez Ballesteros's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luisa Fernanda Gonzalez Ballesteros enrolled in Medicare?

Yes. Luisa Fernanda Gonzalez Ballesteros is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luisa Fernanda Gonzalez Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luisa Fernanda Gonzalez Ballesteros reassigns Medicare benefits to 2 organizations: Physician Affiliate Group Of New York PC (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Luisa Fernanda Gonzalez Ballesteros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luisa Fernanda Gonzalez Ballesteros was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.