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ELPIDIA H BALBASTRO M.D.
NPI 1386614345
Internal Medicine - Medical Oncology in Opelousas, LA

Active since January 24, 2006PECOS Enrolled
1200 HOSPITAL DR STE 2, OPELOUSAS, LA 70570(337) 942-7898(337) 942-7808 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2023, Dec 21, 2022, Jan 7, 2021 and 3 more (6 updates tracked since 2017).

About Elpidia H Balbastro M.d. NPPES

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

ELPIDIA H BALBASTRO M.D. (NPI 1386614345) is an individual medical oncology provider in Opelousas, Louisiana, licensed in Louisiana (309969) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386614345
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameELPIDIA H BALBASTROCredential: M.D.
Location Address1200 HOSPITAL DR STE 2Opelousas, LA 70570-6552
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (337) 942-7898 · Fax (225) 765-9196
Phone(337) 942-7898
Fax(337) 942-7808
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateFebruary 21, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1386614345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in LA · 309969✔ Licensed in IL · 036085269
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License J7417 (TX), 40557 (KY), 036085269 (IL), MD0000041542 (TN)
1200 HOSPITAL DR STE 2, Opelousas, LA 70570
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12000 Pine StAbilene, TX 79601 · Phone (325) 670-6170 · Fax (325) 670-6172
Location 22845 N Sheridan Rd, Suite 1300Chicago, IL 60657 · Phone (773) 665-9920
Location 34809 Ambassador Caffery Pkwy Ste 230Lafayette, LA 70508-8800 · Phone (337) 470-2739 · Fax (337) 470-6495

Other Identifiers 13

Other5080652Aetna Provider Pin#
Other0910609KY · Umwa
Other271459Health Link
Medicaid7100021930KY
Other036085269IL · Il Dept Of Public Aid
OtherG09596KY · Bluegrass Family Health
Other020248399Dept Of Labor
Other1234850Cha
Other123712KY · Health Alliance-php
Medicaid3827817TN
Other000000236043TN · Unison Health Plan Medicare Advantage
Other00000504506KY · Anthem Bcbs Ky
Other41960TN · Tlc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elpidia H Balbastro 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 Elpidia Balbastro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hendrick Provider Network
471 mi
Internal Medicine
1904 PINE ST, SUITE 200
Abilene, TX 79601
  • Reassigned Medicare billing, Texas enrollment
  • 420 clinicians in this Medicare group
NPI 1396961322 (325) 670-4220

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 70570 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Elpidia Balbastro's NPI number?

The NPI number for Elpidia Balbastro is 1386614345. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Elpidia Balbastro located?

Elpidia Balbastro practices at 1200 Hospital Dr Ste 2, Opelousas, LA 70570. The listed phone number is (337) 942-7898.

What is Elpidia Balbastro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Elpidia Balbastro enrolled in Medicare?

Yes. Elpidia Balbastro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elpidia Balbastro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elpidia Balbastro reassigns Medicare benefits to Hendrick Provider Network (Abilene, TX). 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 Elpidia Balbastro'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 Elpidia Balbastro was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.