JUAN R BALLESTEROS M.D.
NPI 1114915139
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA
About Juan R Ballesteros M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN R BALLESTEROS M.D. (NPI 1114915139) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD055998L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Juan R Ballesteros M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Juan Ballesteros reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 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.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Juan Ballesteros's NPI number?
The NPI number for Juan Ballesteros is 1114915139. It was assigned to this individual provider in the NPPES registry on October 13, 2005.
Where is Juan Ballesteros located?
Juan Ballesteros practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5202.
What is Juan Ballesteros's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Juan Ballesteros enrolled in Medicare?
Yes. Juan Ballesteros is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Juan Ballesteros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juan Ballesteros reassigns Medicare benefits to 6 organizations: Stc Pediatrics LLC (Philadelphia, PA), Temple Faculty Practice Plan Inc (Philadelphia, PA), Einstein Practice Plan Inc (Philadelphia, PA), Childrens Health Care Associates, Inc (Philadelphia, PA), Tower Health Medical Group (Philadelphia, PA) and 1 more organization, listed in the Medicare section above. 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 Juan Ballesteros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Juan Ballesteros accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and AmeriHealth Caritas Next list Juan Ballesteros 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 Juan Ballesteros was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Juan R Ballesteros, M.D. · NPI 1114915139
Neonatal-Perinatal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 13, 2005.
## Identity
- **NPI:** 1114915139 (Entity type: Individual)
- **Enumerated:** October 13, 2005
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** MD055998L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA); Temple Faculty Practice Plan Inc (NPI 1053893099, Philadelphia, PA); Einstein Practice Plan Inc (NPI 1245297605, Philadelphia, PA); Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA); Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2024
- **Other identifiers:** Medicaid 0017597080005 (PA); Medicaid 001759708 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114915139) · Data from the CMS NPPES public registry.