MR. JORGE BALLESTEROS PA-C
NPI 1689657066
Physician Assistant - Medical in Orlando, FL

Q: What is Jorge Ballesteros's NPI number?

The NPI number for Jorge Ballesteros is 1689657066. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Jorge Ballesteros's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Ballesteros was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 21, 2005PECOS Enrolled

7824 LAKE UNDERHILL RD, SUITE A, ORLANDO, FL 32822(407) 282-2001(407) 282-2028 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Oct 14, 2019 (2 updates tracked since 2019).

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About Mr. Jorge Ballesteros Pa-c NPPES

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

MR. JORGE BALLESTEROS PA-C (NPI 1689657066) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9103585) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winter Park.

NPPES Registry Identity

NPI1689657066

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JORGE BALLESTEROSCredential: PA-C

Location Address7824 LAKE UNDERHILL RD, SUITE AOrlando, FL 32822-8201

Mailing Address7824 Lake Underhill Rd, Suite AOrlando, FL 32822-8201 · (407) 282-2001 · Fax (407) 282-2028

Phone(407) 282-2001

Fax(407) 282-2028

Sole ProprietorNo

Enumeration DateNovember 21, 2005

Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration

NPPES CertifiedJuly 19, 2021

✔ NPI 1689657066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9103585

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9103585 (FL)

7824 LAKE UNDERHILL RD, Orlando, FL 32822

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Secondary Practice Location 1

Location 1483 N Semoran Blvd Ste 210Winter Park, FL 32792-3800 · Phone (407) 500-3627

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jorge Ballesteros Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERSONAL HEART CARE PA

Clinic/Center (Medical Specialty)

7824 LAKE UNDERHILL RD, SUITE E
ORLANDO, FL 32822

Orange County (407) 367-0742

ERIC MICHAELIS-WOODARD

Physician Assistant

7824 LAKE UNDERHILL RD
ORLANDO, FL 32822

Orange County (407) 846-7546

FAMILY INTERNAL MEDICINE, PA

Internal Medicine

7824 LAKE UNDERHILL RD, SUITE H
ORLANDO, FL 32822

Orange County (407) 384-1718

CHIKA OKEREKE M.D.

Internal Medicine (Cardiovascular Disease)

7824 LAKE UNDERHILL RD, STE. I
ORLANDO, FL 32822

Orange County (407) 380-3400

MID FLORIDA ADULT MEDICINE, LLC

Internal Medicine

7824 LAKE UNDERHILL RD, SUITE B
ORLANDO, FL 32822

Orange County (407) 281-0470

CARDIAC CARE SPECIALISTS PA

Specialist

7824 LAKE UNDERHILL RD, STE. E
ORLANDO, FL 32822

Orange County (407) 273-2378

DELTA KIDNEY & HYPERTENSION, PLC

Internal Medicine (Nephrology)

7824 LAKE UNDERHILL RD, SUITE D
ORLANDO, FL 32822

Orange County (407) 482-4101

LAURA L MAYS PA-C

Physician Assistant

7824 LAKE UNDERHILL RD
ORLANDO, FL 32822

Orange County (407) 846-7546

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 Jorge Ballesteros's NPI number?

The NPI number for Jorge Ballesteros is 1689657066. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Jorge Ballesteros located?

Jorge Ballesteros practices at 7824 Lake Underhill Rd Suite A, Orlando, FL 32822. The listed phone number is (407) 282-2001.

What is Jorge Ballesteros's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jorge Ballesteros enrolled in Medicare?

Yes. Jorge Ballesteros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jorge Ballesteros was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.