DEREK BALLAS D.O.
NPI 1164789780
Obstetrics & Gynecology in Annapolis, MD

Q: What is Derek Ballas's NPI number?

The NPI number for Derek Ballas is 1164789780. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Q: What is Derek Ballas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Ballas was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment

2000 MEDICAL PKWY STE 309, ANNAPOLIS, MD 21401(410) 224-1133(410) 266-1639 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Jun 6, 2023 (2 updates tracked since 2023).

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About Derek Ballas D.o. NPPES

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

DEREK BALLAS D.O. (NPI 1164789780) is an individual obstetrics & gynecology provider in Annapolis, Maryland, licensed in Maryland (H91155) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1164789780

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDEREK BALLASCredential: D.O.

Location Address2000 MEDICAL PKWY STE 309Annapolis, MD 21401-3745

Mailing Address2000 Medical Pkwy Ste 409Annapolis, MD 21401-3746

Phone(410) 224-1133

Fax(410) 266-1639

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012

Enumeration DateApril 19, 2012

Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1164789780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MD · H91155

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2000 MEDICAL PKWY STE 309, Annapolis, MD 21401

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Secondary Practice Locations 4

Location 1202 Coursevall DrCentreville, MD 21617-2804 · Phone (410) 810-0767

Location 24175 N Hanson Ct Ste 203Bowie, MD 20716-3183 · Phone (410) 224-4442

Location 32003 Medical Pkwy Ste 350Annapolis, MD 21401-3081 · Phone (443) 951-4286 · Fax (443) 949-7380

Location 47501 Greenway Center Dr Ste 910Greenbelt, MD 20770-3514 · Phone (301) 982-0657 · Fax (240) 956-5166

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

Derek Ballas D.o. 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 ID446557235

PECOS Enrollment IDI20210520000189, I20260318001847

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210023

Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

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 6

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

LUMINIS HEALTH MEDICAL GROUP, LLC

Obstetrics & Gynecology