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

Q: 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.

Q: What is Nina Ballone's specialty?

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

Q: 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 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.

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: August 16, 2026.

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

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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 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

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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)

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.

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

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

Quality

64.71

Promoting Interoperability

Improvement Activities

Cost

52.43

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