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MARY BALL RDN
NPI 1841722790
Dietitian, Registered in Waterford, MI

Active since March 30, 2017
5493 CLINTON RIVER DR, WATERFORD, MI 48327(586) 925-6888 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Ball Rdn NPPES

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

MARY BALL RDN (NPI 1841722790) is an individual dietitian, registered in Waterford, Michigan, licensed in Michigan (86046829) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1841722790
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY BALLCredential: RDN
Location Address5493 CLINTON RIVER DRWaterford, MI 48327-2521
Mailing Address5493 Clinton River DrWaterford, MI 48327-2521 · (586) 925-6888
Phone(586) 925-6888
Sole ProprietorYes
Enumeration DateMarch 30, 2017
✔ NPI 1841722790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MI · 86046829
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5493 CLINTON RIVER DR, Waterford, MI 48327
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ball Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Ball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ram Surendran M.D. PC
13 mi
Family Medicine
1349 S ROCHESTER RD, SUITE 100
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ram Surendran MD PC
  • 10 clinicians in this Medicare group
NPI 1861419681 (248) 759-5460

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

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 Mary Ball's NPI number?

The NPI number for Mary Ball is 1841722790. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Mary Ball located?

Mary Ball practices at 5493 Clinton River Dr, Waterford, MI 48327. The listed phone number is (586) 925-6888.

What is Mary Ball's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mary Ball enrolled in Medicare?

Yes. Mary Ball is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ball reassigns Medicare benefits to Ram Surendran M.D. PC (Rochester Hills, MI). The 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 Mary Ball'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 Mary Ball was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.