DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
NPI 1104260702
Family Medicine in Madison, WI

Active since April 25, 2013PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST, MADISON, WI 53715(608) 263-3111(608) 263-6663 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Dec 4, 2019, Nov 3, 2016 (3 updates tracked since 2016).

About Dr. Yohualli Balderas-medina Anaya M.d. NPPES

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

DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D. (NPI 1104260702) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (77415) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Southern California Keck School Of Medicine (2013).

NPPES Registry Identity

NPI1104260702
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. YOHUALLI BALDERAS-MEDINA ANAYACredential: M.D.
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 263-6663
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2013
Enumeration DateApril 25, 2013
Last NPPES UpdateSeptember 12, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1104260702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 77415
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.
1102 S PARK ST, Madison, WI 53715

Other Names 1

Professional Name (2)Dr. Yohualli Balderas-medina M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Yohualli Balderas-medina Anaya M.d. 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 ID4486940277
PECOS Enrollment IDI20160902000912, I20220920002096
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Family Medicine
1102 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Psychologist
1102 S PARK ST
MADISON, WI 53715

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 Yohualli Anaya's NPI number?

The NPI number for Yohualli Anaya is 1104260702. It was assigned to this individual provider in the NPPES registry on April 25, 2013. The provider is also known as Dr. Yohualli Balderas-Medina M.D..

Where is Yohualli Anaya located?

Yohualli Anaya practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 263-3111.

What is Yohualli Anaya's specialty?

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

Is Yohualli Anaya enrolled in Medicare?

Yes. Yohualli Anaya 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.

What insurance does Yohualli Anaya accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and UnitedHealthcare list Yohualli Anaya 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.

Is Yohualli Anaya affiliated with any hospitals?

According to CMS data, Yohualli Anaya is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Yohualli Anaya was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.