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NINA THERESA BALLONE MD
NPI 1619321171
Psychiatry & Neurology - Psychosomatic Medicine in Washington, DC

Active since April 20, 2016PECOS Enrolled
74.39/100
CMS Quality Rating
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 660-5225(202) 537-4737 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2022, Aug 5, 2021, Mar 1, 2021 and 3 more (6 updates tracked since 2018).

About Nina Theresa Ballone Md NPPES

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

NINA THERESA BALLONE MD (NPI 1619321171) is an individual psychosomatic medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD210002305) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Northeastern Ohio University College Of Medicine (2016).

NPPES Registry Identity

NPI1619321171
Entity TypeIndividualFemale
Primary Taxonomy2084P0015X
Provider Legal NameNINA THERESA BALLONECredential: MD
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2696
Mailing Address5255 Loughboro Rd NwWashington, DC 20016-2696 · (202) 660-5225 · Fax (202) 537-4737
Phone(202) 660-5225
Fax(202) 537-4737
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateSeptember 27, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1619321171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
Licenses✔ Licensed in DC · MD210002305✔ Licensed in MD · D0094839✔ Licensed in VA · 0101268870
Definition
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0101268870 (VA), MD466075 (PA)
5255 LOUGHBORO RD NW, Washington, DC 20016
Open in Google Maps ↗

Secondary Practice Locations 9

Location 13600 Joseph Siewick DrFairfax, VA 22033-1709 · Phone (703) 391-3600 · Fax (703) 391-3414
Location 22501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666
Location 344045 Riverside PkwyLeesburg, VA 20176-5101 · Phone (703) 858-6000 · Fax (703) 858-6900
Location 43700 Joseph Siewick Dr Ste 408Fairfax, VA 22033-1745 · Phone (703) 620-3211 · Fax (703) 620-3215
Location 58500 Executive Park Ave Ste 202Fairfax, VA 22031-2253 · Phone (703) 852-7020 · Fax (703) 289-4612
Location 63300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-3626
Location 7833 Chestnut East, Suite 210Philadelphia, PA 19107-4405 · Phone (215) 955-8420 · Fax (215) 503-2856
Location 84320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388
Location 98221 Willow Oaks Corporate Dr Ste 4-425Fairfax, VA 22031-4512 · Phone (703) 289-7560 · Fax (703) 289-4612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina Theresa Ballone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688963481
PECOS Enrollment IDI20210809000119
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 Reassignments

2

Medicare enrollment records show Nina Ballone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
8.0 mi
Multi-Specialty
2740 PROSPERITY AVE STE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1952320061 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1669511051 (703) 321-2600
Johns Hopkins University
37 mi
Psychiatry
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 26 clinicians in this Medicare group
NPI 1891072286 (410) 955-6158

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

Areas of Expertise CMS Part B claims 5

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.

Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
331 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
178 services37 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

DANIEL RICHARD STAIRIKER CRNP
Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4000
HOWARD JIAHAU LI MD
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4000
MR. JOSEPH JOHN LIBRICZ JR. P.A.-C.
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (301) 589-3977
MICHAEL GOLDENHORN PHARMD
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4769
AARON CONARD
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (240) 366-7325
MONTY H. OPPENHEIM MD
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 243-2280
ANDREA L RICHARDSON MD PHD
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4455
DR. SHIVANI AHLAWAT MD
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4686

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 Nina Ballone's NPI number?

The NPI number for Nina Ballone is 1619321171. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Nina Ballone located?

Nina Ballone practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 660-5225.

What is Nina Ballone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Nina Ballone enrolled in Medicare?

Yes. Nina Ballone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nina Ballone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Ballone reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Fairfax, VA) and Johns Hopkins University (Baltimore, MD). Each 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 Nina Ballone'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 Nina Ballone was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.