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BERENITZE BALLADARES MD
NPI 1073216982
Family Medicine in Cincinnati, OH

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
8989 WINTON RD STE 100, CINCINNATI, OH 45231(513) 679-4866(513) 761-2776 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Mar 22, 2023 (2 updates tracked since 2023).

About Berenitze Balladares Md NPPES

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

BERENITZE BALLADARES MD (NPI 1073216982) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35.156605) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2022).

NPPES Registry Identity

NPI1073216982
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBERENITZE BALLADARESCredential: MD
Location Address8989 WINTON RD STE 100Cincinnati, OH 45231-3817
Mailing Address2139 Auburn Avenue, Attn: Payor Enrollment 4-7Cincinnati, OH 45219-2906 · (513) 351-9900
Phone(513) 679-4866
Fax(513) 761-2776
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2022
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1073216982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.156605
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8989 WINTON RD STE 100, Cincinnati, OH 45231
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Berenitze Balladares Md 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.

PECOS PAC ID4688031537
PECOS Enrollment IDI20260810000603
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 Reassignment

Medicare enrollment records show Berenitze Balladares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Christ Hospital Medical Associates, LLC
7.5 mi
Internal Medicine
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 288 clinicians in this Medicare group
NPI 1114107919 (513) 351-9900

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 45231 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN RYAN M.D.
Family Medicine
8989 WINTON RD STE 100
CINCINNATI, OH 45231
Hamilton County (513) 761-2776

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 Berenitze Balladares's NPI number?

The NPI number for Berenitze Balladares is 1073216982. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Berenitze Balladares located?

Berenitze Balladares practices at 8989 Winton Rd Ste 100, Cincinnati, OH 45231. The listed phone number is (513) 679-4866.

What is Berenitze Balladares's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Berenitze Balladares enrolled in Medicare?

Yes. Berenitze Balladares 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 organization bills Medicare for Berenitze Balladares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Berenitze Balladares reassigns Medicare benefits to The Christ Hospital Medical Associates, LLC (Cincinnati, OH). The 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 Berenitze Balladares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Berenitze Balladares accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Berenitze Balladares as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Berenitze Balladares was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.