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MR. KEVIN DANIEL BALDERRAMA MD
NPI 1205568482
Student in an Organized Health Care Education/Training Program in Springfield, MA

Active since June 27, 2022PECOS Enrolled
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kevin Daniel Balderrama Md NPPES

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

MR. KEVIN DANIEL BALDERRAMA MD (NPI 1205568482) is an individual student in an organized health care education/training program in Springfield, Massachusetts and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205568482
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KEVIN DANIEL BALDERRAMACredential: MD
Location AddressBAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELDSpringfield, MA 01199-0001
Mailing AddressBaystate Medical Center 759 Chestnut Street SpringfieldSpringfield, MA 01199-0001 · (413) 794-0000
Phone(413) 794-0000
Sole ProprietorNo
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1205568482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD, Springfield, MA 01199
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Daniel Balderrama Md 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.

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.

ARMUGHAN SAMI KHAN
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
RANEEM ATTA MD
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

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 Kevin Balderrama's NPI number?

The NPI number for Kevin Balderrama is 1205568482. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Kevin Balderrama located?

Kevin Balderrama practices at Baystate Medical Center 759 Chestnut Street Springfield, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Kevin Balderrama's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Balderrama enrolled in Medicare?

Yes. Kevin Balderrama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Balderrama was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.