DAGOBERTO BALDERAS, DO, PLLC
NPI 1457974065
General Practice in Austin, TX

Q: What is Dagoberto Balderas, Do, PLLC's NPI number?

The NPI number for Dagoberto Balderas, Do, PLLC is 1457974065. It was assigned to this organization in the NPPES registry on May 19, 2020.

Q: What is Dagoberto Balderas, Do, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 19, 2020

5424 W HIGHWAY 290 STE 101, AUSTIN, TX 78735(512) 643-4400(737) 484-0348 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2020, May 19, 2020 (2 updates tracked since 2020).

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About Dagoberto Balderas, Do, Pllc NPPES

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

DAGOBERTO BALDERAS, DO, PLLC (NPI 1457974065) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since May 2020. The organization lists Dagoberto Balderas, Owner, as its authorized official.

NPPES Registry Identity

NPI1457974065

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameDAGOBERTO BALDERAS, DO, PLLC

Location Address5424 W HIGHWAY 290 STE 101Austin, TX 78735-8838

Mailing Address5424 W Highway 290 Ste 101Austin, TX 78735-8838 · (512) 643-4400 · Fax (737) 484-0348

Phone(512) 643-4400

Fax(737) 484-0348

Organization SubpartNo

Authorized OfficialDagoberto BalderasOwner · (512) 643-4400

Enumeration DateMay 19, 2020

Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1457974065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

5424 W HIGHWAY 290 STE 101, Austin, TX 78735

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dagoberto Balderas, Do, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dagoberto Balderas, Do, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dagoberto Balderas, D.O.

Family Practice

NPI 1699835843

5424 W HIGHWAY 290 STE 101
Austin, TX 78735

(512) 643-4400

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dagoberto Balderas, Do, PLLC's NPI number?

The NPI number for Dagoberto Balderas, Do, PLLC is 1457974065. It was assigned to this organization in the NPPES registry on May 19, 2020.

Where is Dagoberto Balderas, Do, PLLC located?

Dagoberto Balderas, Do, PLLC is located at 5424 W Highway 290 Ste 101, Austin, TX 78735. The listed phone number is (512) 643-4400.

What is Dagoberto Balderas, Do, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dagoberto Balderas, Do, PLLC enrolled in Medicare?

Yes. Dagoberto Balderas, Do, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dagoberto Balderas, Do, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dagoberto Balderas, Do, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dagoberto Balderas, Do, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Dagoberto Balderas, Do, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dagoberto Balderas, Do, PLLC was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.