MANUEL BALDERAS MD
NPI 1851404545
Psychiatry & Neurology - Psychiatry in Burlington, MA
About Manuel Balderas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANUEL BALDERAS MD (NPI 1851404545) is an individual psychiatry provider in Burlington, Massachusetts, licensed in Massachusetts (263953) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Manuel Balderas Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01805 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, MA 01805
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 Manuel Balderas's NPI number?
The NPI number for Manuel Balderas is 1851404545. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Manuel Balderas located?
Manuel Balderas practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-8000.
What is Manuel Balderas's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Manuel Balderas enrolled in Medicare?
Yes. Manuel Balderas 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.
What insurance does Manuel Balderas accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Manuel Balderas 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 Manuel Balderas was last updated on January 24, 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.
# Manuel Balderas, MD · NPI 1851404545
Psychiatry physician in Burlington, Massachusetts. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1851404545 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 263953 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 41 MALL RD, Burlington, MA 01805-3509
- **Phone:** (781) 744-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** January 24, 2023
- **Other identifiers:** Other 1408884-02
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Source: [NPI Profile](https://npiprofile.com/npi/1851404545) · Data from the CMS NPPES public registry.