DR. FABIAN A MENDOZA BALLESTEROS M.D
NPI 1164689840
Internal Medicine - Rheumatology in Philadelphia, PA

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
211 S 9TH ST, SUITE 600, PHILADELPHIA, PA 19107(215) 955-8430(215) 923-5828 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fabian A Mendoza Ballesteros M.d NPPES

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

DR. FABIAN A MENDOZA BALLESTEROS M.D (NPI 1164689840) is an individual rheumatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436636) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1164689840
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. FABIAN A MENDOZA BALLESTEROSCredential: M.D
Location Address211 S 9TH ST, SUITE 600Philadelphia, PA 19107-6810
Mailing Address211 S 9th St, Suite 600Philadelphia, PA 19107-6810 · (215) 955-8430 · Fax (215) 923-5828
Fax(215) 923-5828
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 20, 2008
Last NPPES UpdateNovember 20, 2014
NPI 1164689840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in PA · MD436636 Licensed in NY · 003041
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
211 S 9TH ST, Philadelphia, PA 19107

Other Identifiers 3

Medicaid0197271NJ
Medicare PIN154132PA
Medicaid102331909PA

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. Fabian A Mendoza Ballesteros 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 ID941351381
PECOS Enrollment IDI20090625000332
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
242 services123 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
117 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services26 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
21 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
211 S 9TH ST, SUITE 600
PHILADELPHIA, PA 19107
Dietitian, Registered (Nutrition, Metabolic)
211 S 9TH ST, 6TH FLOOR WALNUT TOWERS
PHILADELPHIA, PA 19107
Internal Medicine (Nephrology)
211 S 9TH ST, SUITE 305
PHILADELPHIA, PA 19107
Internal Medicine
211 S 9TH ST, SUITE 401
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Sleep Medicine)
211 S 9TH ST, SUITE 500
PHILADELPHIA, PA 19107
Internal Medicine (Endocrinology, Diabetes & Metabolism)
211 S 9TH ST, SUITE 600
PHILADELPHIA, PA 19107
Dietitian, Registered
211 S 9TH ST, SUITE 402
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Sleep Medicine)
211 S 9TH ST, SUITE 500
PHILADELPHIA, PA 19107

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 Fabian Mendoza Ballesteros's NPI number?

The NPI number for Fabian Mendoza Ballesteros is 1164689840. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Fabian Mendoza Ballesteros located?

Fabian Mendoza Ballesteros practices at 211 S 9th St Suite 600, Philadelphia, PA 19107. The listed phone number is (215) 955-8430.

What is Fabian Mendoza Ballesteros's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Fabian Mendoza Ballesteros enrolled in Medicare?

Yes. Fabian Mendoza Ballesteros 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.

Is Fabian Mendoza Ballesteros affiliated with any hospitals?

According to CMS data, Fabian Mendoza Ballesteros is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Fabian Mendoza Ballesteros was last updated on November 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.