CLAUDIA BALDERRAMA MD
NPI 1740845239
Surgery in Baltimore, MD
About Claudia Balderrama Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAUDIA BALDERRAMA MD (NPI 1740845239) is an individual surgery provider in Baltimore, Maryland, licensed in Maryland (D0101291) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Claudia Balderrama Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Claudia Balderrama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 423 clinicians in this Medicare group
Glen Mills, PA 19342
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Claudia Balderrama's NPI number?
The NPI number for Claudia Balderrama is 1740845239. It was assigned to this individual provider in the NPPES registry on May 9, 2019.
Where is Claudia Balderrama located?
Claudia Balderrama practices at 250 N Calvert St, Baltimore, MD 21202. The listed phone number is (410) 332-9528.
What is Claudia Balderrama's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Claudia Balderrama enrolled in Medicare?
Yes. Claudia Balderrama is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Claudia Balderrama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Balderrama reassigns Medicare benefits to 2 organizations: St Paul Place Specialists, Inc. (Baltimore, MD) and Prospect Health Access Network, Inc. (Glen Mills, PA). 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 Claudia Balderrama'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 Claudia Balderrama was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Claudia Balderrama, MD · NPI 1740845239
Surgery physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since May 9, 2019.
## Identity
- **NPI:** 1740845239 (Entity type: Individual)
- **Enumerated:** May 9, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** D0101291 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 N CALVERT ST, Baltimore, MD 21202-3505
- **Phone:** (410) 332-9528 · **Fax:** (410) 385-9383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Paul Place Specialists, Inc. (NPI 1174564736, Baltimore, MD); Prospect Health Access Network, Inc. (NPI 1083061006, Glen Mills, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740845239) · Data from the CMS NPPES public registry.