IMELDA MARIE BALBONI MD, PHD
NPI 1407903842
Pediatrics - Pediatric Rheumatology in Palo Alto, CA

Q: What is Imelda Balboni's NPI number?

The NPI number for Imelda Balboni is 1407903842. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Imelda Balboni's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Q: When was this NPI record last updated?

The NPPES record for Imelda Balboni was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 05, 2007PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Imelda Marie Balboni Md, Phd NPPES

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

IMELDA MARIE BALBONI MD, PHD (NPI 1407903842) is an individual pediatric rheumatology provider in Palo Alto, California, licensed in California (A74553) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407903842

Entity TypeIndividualFemale

Primary Taxonomy2080P0216X

Provider Legal NameIMELDA MARIE BALBONICredential: MD, PHD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address300 Pasteur Dr, Boswell Building A085Stanford, CA 94305-2200 · (650) 723-8295 · Fax (650) 736-4344

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateJanuary 5, 2007

Last NPPES UpdateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1407903842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0216X

License✔ Licensed in CA · A74553

Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedPediatricsTaxonomy 208000000X · License A74553 (CA)

725 WELCH RD, Palo Alto, CA 94304

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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)

Imelda Marie Balboni Md, Phd 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 20

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

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)