DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
NPI 1104260702
Family Medicine in Madison, WI
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Yohualli Anaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 124 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.
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, WIPhysician 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.
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.
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.
Which organization bills Medicare for Yohualli Anaya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yohualli Anaya reassigns Medicare benefits to Access Community Health Centers, Inc. (Madison, WI). 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 Yohualli Anaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yohualli Anaya accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean 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 4 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.
# Dr. Yohualli Balderas-Medina Anaya, M.D. · NPI 1104260702
Family Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 25, 2013.
## Identity
- **NPI:** 1104260702 (Entity type: Individual)
- **Enumerated:** April 25, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 77415 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1102 S PARK ST, Madison, WI 53715-1708
- **Phone:** (608) 263-3111 · **Fax:** (608) 263-6663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Access Community Health Centers, Inc. (NPI 1669654307, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** September 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104260702) · Data from the CMS NPPES public registry.