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NICOLETTE LEE BALLOU MD
NPI 1457420077
Pediatrics in Beverly Hills, CA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
8920 WILSHIRE BLVD, STE 604, BEVERLY HILLS, CA 90211(310) 659-7867(310) 659-0804 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicolette Lee Ballou Md NPPES

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

NICOLETTE LEE BALLOU MD (NPI 1457420077) is an individual pediatrics provider in Beverly Hills, California, licensed in California (G53313) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1981).

NPPES Registry Identity

NPI1457420077
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLETTE LEE BALLOUCredential: MD
Location Address8920 WILSHIRE BLVD, STE 604Beverly Hills, CA 90211
Mailing Address8920 Wilshire Blvd, Ste 604Beverly Hills, CA 90211 · (310) 659-7867 · Fax (310) 659-0804
Phone(310) 659-7867
Fax(310) 659-0804
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1981
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457420077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G53313
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.
8920 WILSHIRE BLVD, Beverly Hills, CA 90211
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Other Identifiers 1

Medicaid00G53313CA

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

Nicolette Lee Ballou Md 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 ID2062814775
PECOS Enrollment IDI20210716001067
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

DR. STEVE CHEN M.D.
Surgery (Pediatric Surgery)
8920 WILSHIRE BLVD, SUITE 326
BEVERLY HILLS, CA 90211
Los Angeles County (310) 598-7738
MR. A KEVIN AMINIAN MD
Psychiatry & Neurology (Neurology)
8920 WILSHIRE BLVD, SUITE 548
BEVERLY HILLS, CA 90211
Los Angeles County (310) 358-0700
DR. PAUL WESLEY WALLACE MD
Dermatology
8920 WILSHIRE BLVD, SUITE 327
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-8460
WALLACE MEDICAL GROUP, INC
Dermatology (Procedural Dermatology)
8920 WILSHIRE BLVD, SUITE 327
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-8460
DR. MARY MIGLIETTA-ROTHMAN DDS
Dentist
8920 WILSHIRE BLVD, SU. 410
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-2360
DR. GLENN A MARSHAK M.D.
Internal Medicine
8920 WILSHIRE BLVD
BEVERLY HILLS, CA 90211
Los Angeles County (310) 553-5203
JOHN D ROMM MD A MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
8920 WILSHIRE BLVD, STE #330
BEVERLY HILLS, CA 90211
Los Angeles County (310) 854-5638
DR. MICHELE L FRAWLEY DDS
Dentist (General Practice)
8920 WILSHIRE BLVD, SUITE 701
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-8383

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 Nicolette Ballou's NPI number?

The NPI number for Nicolette Ballou is 1457420077. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Nicolette Ballou located?

Nicolette Ballou practices at 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211. The listed phone number is (310) 659-7867.

What is Nicolette Ballou's specialty?

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

Is Nicolette Ballou enrolled in Medicare?

Yes. Nicolette Ballou 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.

When was this NPI record last updated?

The NPPES record for Nicolette Ballou was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.