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ERNIE PORTEZA BALCUEVA M.D.
NPI 1154365252
Internal Medicine - Hematology & Oncology in Saginaw, MI

Active since June 16, 2006PECOS Enrolled
4599 TOWNE CENTRE RD FL 2, SAGINAW, MI 48604(989) 497-3226(989) 497-3146 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Nov 2, 2020, Jul 29, 2019 (3 updates tracked since 2019).

About Ernie Porteza Balcueva M.d. NPPES

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

ERNIE PORTEZA BALCUEVA M.D. (NPI 1154365252) is an individual hematology & oncology provider in Saginaw, Michigan, licensed in Michigan (4301034288) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1154365252
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameERNIE PORTEZA BALCUEVACredential: M.D.
Location Address4599 TOWNE CENTRE RD FL 2Saginaw, MI 48604
Mailing AddressPo Box 779Tawas City, MI 48764-0779 · (989) 362-9411 · Fax (989) 362-9925
Phone(989) 497-3226
Fax(989) 497-3146
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateApril 6, 20213 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1154365252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · 4301034288
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License EB034288 (MI)
4599 TOWNE CENTRE RD FL 2, Saginaw, MI 48604
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Secondary Practice Location 1

Location 1800 COOPER AVE, STE 10SAGINAW, MI 48602-5373 · Phone (989) 753-1002 · Fax (989) 753-3460

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ernie Porteza Balcueva 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $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 2

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

CHRISTOPHER ALAN GARCES M.D.
Surgery
4599 TOWNE CENTRE RD FL 2
SAGINAW, MI 48604
Saginaw County (989) 497-3226
MYMICHIGAN MEDICAL CENTER SAGINAW
Surgery
4599 TOWNE CENTRE RD FL 2
SAGINAW, MI 48604
Saginaw County (989) 497-3226

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 Ernie Balcueva's NPI number?

The NPI number for Ernie Balcueva is 1154365252. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Ernie Balcueva located?

Ernie Balcueva practices at 4599 Towne Centre Rd Fl 2, Saginaw, MI 48604. The listed phone number is (989) 497-3226.

What is Ernie Balcueva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ernie Balcueva enrolled in Medicare?

Yes. Ernie Balcueva is registered in the Medicare PECOS enrollment system.

What insurance does Ernie Balcueva accept?

Health plans from McLaren Health Plan Community list Ernie Balcueva 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 Ernie Balcueva was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.