DR. MICHAEL BALLARD DNP
NPI 1215620463
Nurse Practitioner - Acute Care in New York, NY

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
1111 AMSTERDAM AVE, NEW YORK, NY 10025(212) 636-1353 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Jun 5, 2023, Jun 2, 2023 (3 updates tracked since 2023).

About Dr. Michael Ballard Dnp NPPES

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

DR. MICHAEL BALLARD DNP (NPI 1215620463) is an individual acute care provider in New York, New York, licensed in New York (432634) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215620463
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDR. MICHAEL BALLARDCredential: DNP
Location Address1111 AMSTERDAM AVENew York, NY 10025-1716
Mailing Address1111 Amsterdam AveNew York, NY 10025-1716 · (212) 636-1353
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 1, 2023
Last NPPES UpdateOctober 14, 20243 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
NPI 1215620463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in NY · 432634 Licensed in NJ · 26NJ14881400
1111 AMSTERDAM AVE, New York, NY 10025

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. Michael Ballard Dnp 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 ID6406202175
PECOS Enrollment IDI20231101001163
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025

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 Michael Ballard's NPI number?

The NPI number for Michael Ballard is 1215620463. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Michael Ballard located?

Michael Ballard practices at 1111 Amsterdam Ave, New York, NY 10025. The listed phone number is (212) 636-1353.

What is Michael Ballard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michael Ballard enrolled in Medicare?

Yes. Michael Ballard 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 Michael Ballard affiliated with any hospitals?

According to CMS data, Michael Ballard is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Michael Ballard was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.