BALLARD MEDICAL CORPORATION
NPI 1629149984
Family Medicine in Redding, CA
About Ballard Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALLARD MEDICAL CORPORATION (NPI 1629149984) is a healthcare organization registered as a family medicine in Redding, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Morris Robert Ballard, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ballard Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ballard Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0618028
Ballard Medical Corp · Redding, CAFrequently 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 Ballard Medical Corporation's NPI number?
The NPI number for Ballard Medical Corporation is 1629149984. It was assigned to this organization in the NPPES registry on November 10, 2006.
Where is Ballard Medical Corporation located?
Ballard Medical Corporation is located at 1115 Whiskeytown Ct Suite B, Redding, CA 96001. The listed phone number is (530) 244-9750.
What is Ballard Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ballard Medical Corporation enrolled in Medicare?
Yes. Ballard Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Ballard Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ballard Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ballard Medical Corporation. 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.
Does Ballard Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0618028) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ballard Medical Corporation was last updated on August 22, 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.
# Ballard Medical Corporation · NPI 1629149984
Family Medicine organization in Redding, California. Organization record, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1629149984 (Entity type: Organization)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Morris Ballard, PRESIDENT
## Practice location
- **Address:** 1115 WHISKEYTOWN CT, SUITE B, Redding, CA 96001-0227
- **Phone:** (530) 244-9750 · **Fax:** (530) 244-0960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other ZZZ89207Z (CA); Medicaid GR0001720 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629149984) · Data from the CMS NPPES public registry.