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DR. CHARLES FREDERICK BALBUENA HEATH M.D.
NPI 1851389076
General Practice in Green Cove Springs, FL

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
1305 N ORANGE AVE, GREEN COVE SPRINGS, FL 32043(787) 644-1472(866) 412-8287 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charles Frederick Balbuena Heath M.d. NPPES

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

DR. CHARLES FREDERICK BALBUENA HEATH M.D. (NPI 1851389076) is an individual general practice provider in Green Cove Springs, Florida, licensed in Puerto Rico (16184) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1851389076
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CHARLES FREDERICK BALBUENA HEATHCredential: M.D.
Location Address1305 N ORANGE AVEGreen Cove Springs, FL 32043-2547
Mailing Address1302 River StPalatka, FL 32177-5042 · (386) 328-0108 · Fax (386) 325-1086
Phone(787) 644-1472
Fax(866) 412-8287
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1851389076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 16184
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1305 N ORANGE AVE, Green Cove Springs, FL 32043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Frederick Balbuena Heath M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840217964
PECOS Enrollment IDI20220223000902
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Balbuena Heath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health Care Incorporated
Same address
Federally Qualified Health Center (FQHC)
1305 N ORANGE AVE
Green Cove Springs, FL 32043
  • Reassigned Medicare billing, Florida enrollment
  • 76 clinicians in this Medicare group
NPI 1700135522 (904) 284-5904

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

Areas of Expertise CMS Part B claims

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services11 patients

Other Providers at the Same Location NPPES 5

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

DIANA KRISTINE FALISE APRN
Nurse Practitioner (Family)
1305 N ORANGE AVE
GREEN COVE SPRINGS, FL 32043
Clay County (904) 284-5904
EKOS GREEN COVE SPRINGS PLLC
Dentist (General Practice)
1305 N ORANGE AVE
GREEN COVE SPRINGS, FL 32043
Clay County (904) 282-8752
MARK GABEL
Social Worker (Clinical)
1305 N ORANGE AVE
GREEN COVE SPRINGS, FL 32043
Clay County (904) 284-5904
RURAL HEALTH CARE, INC.
Pharmacy (Community/Retail Pharmacy)
1305 N ORANGE AVE
GREEN COVE SPRINGS, FL 32043
Clay County (904) 284-5904
RURAL HEALTH CARE INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
1305 N ORANGE AVE
GREEN COVE SPRINGS, FL 32043
Clay County (904) 284-5904

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 Charles Balbuena Heath's NPI number?

The NPI number for Charles Balbuena Heath is 1851389076. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Charles Balbuena Heath located?

Charles Balbuena Heath practices at 1305 N Orange Ave, Green Cove Springs, FL 32043. The listed phone number is (787) 644-1472.

What is Charles Balbuena Heath's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Balbuena Heath enrolled in Medicare?

Yes. Charles Balbuena Heath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Balbuena Heath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Balbuena Heath reassigns Medicare benefits to Rural Health Care Incorporated (Green Cove Springs, FL). 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 Charles Balbuena Heath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Balbuena Heath accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Charles Balbuena Heath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Balbuena Heath was last updated on July 18, 2023. 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.