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DR. EDWIN BALLELOS M.D.
NPI 1184679151
Pediatrics in Orlando, FL

Active since May 24, 2006PECOS Enrolled
4101 TOWN CTR BLVD, ORLANDO, FL 32837(407) 850-3497(407) 851-0421 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Edwin Ballelos M.d. NPPES

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

DR. EDWIN BALLELOS M.D. (NPI 1184679151) is an individual pediatrics provider in Orlando, Florida, licensed in Florida (ME76442) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184679151
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. EDWIN BALLELOSCredential: M.D.
Location Address4101 TOWN CTR BLVDOrlando, FL 32837-5846
Mailing AddressPo Box 191Rockland, DE 19732-0191 · (302) 651-4488 · Fax (302) 651-4945
Phone(407) 850-3497
Fax(407) 851-0421
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1184679151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME76442
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License ME0076442 (FL)
4101 TOWN CTR BLVD, Orlando, FL 32837
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Other Identifiers 2

Medicare UPINH04915
Medicaid008475100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Ballelos 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.

Medicare Billing Reassignment

Medicare enrollment records show Edwin Ballelos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
130 mi
Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1386658615 (904) 697-5628

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32837 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

DR. PAMELA BEACH-REBER M.D.
Pediatrics
4101 TOWN CTR BLVD
ORLANDO, FL 32837
Orange County (407) 850-3497

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 Edwin Ballelos's NPI number?

The NPI number for Edwin Ballelos is 1184679151. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Edwin Ballelos located?

Edwin Ballelos practices at 4101 Town Ctr Blvd, Orlando, FL 32837. The listed phone number is (407) 850-3497.

What is Edwin Ballelos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edwin Ballelos enrolled in Medicare?

Yes. Edwin Ballelos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edwin Ballelos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Ballelos reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). 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 Edwin Ballelos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edwin Ballelos was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.