DR. ANDREA KRICHELLE BALTHAZAR M.D.
NPI 1922495738
Urology - Pediatric Urology in Austin, TX

Q: What is Andrea Balthazar's NPI number?

The NPI number for Andrea Balthazar is 1922495738. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Andrea Balthazar's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Balthazar was last updated on February 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 April 20, 2015PECOS EnrolledAccepts Medicare Assignment

1301 BARBARA JORDAN BLVD STE 302, AUSTIN, TX 78723(512) 324-3042(512) 324-3059 Get Directions Write a Review

NPPES record last updated: February 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, Apr 3, 2023, Mar 13, 2023 and 1 more (4 updates tracked since 2020).

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About Dr. Andrea Krichelle Balthazar M.d. NPPES

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

DR. ANDREA KRICHELLE BALTHAZAR M.D. (NPI 1922495738) is an individual pediatric urology provider in Austin, Texas, licensed in Texas (U3781) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2015).

NPPES Registry Identity

NPI1922495738

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameDR. ANDREA KRICHELLE BALTHAZARCredential: M.D.

Location Address1301 BARBARA JORDAN BLVD STE 302Austin, TX 78723-3078

Mailing Address1301 Barbara Jordan Blvd Ste 302Austin, TX 78723-3078 · (512) 324-3042 · Fax (512) 324-3059

Phone(512) 324-3042

Fax(512) 324-3059

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2015

Enumeration DateApril 20, 2015

Last NPPES UpdateFebruary 15, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2026

✔ NPI 1922495738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in TX · U3781

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 283724 (MA), U3781 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1301 BARBARA JORDAN BLVD STE 302, Austin, TX 78723

Open in Google Maps ↗

Secondary Practice Locations 3

Location 16701 Fannin St Fl 8Houston, TX 77030-2608 · Phone (832) 822-3165

Location 21250 E Marshall St, Box 980118Richmond, VA 23298-5051 · Phone (804) 828-8146 · Fax (804) 828-2307

Location 3300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-7796

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Andrea Krichelle Balthazar 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 ID1951616556

PECOS Enrollment IDI20230509000470

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 Reassignments

Medicare enrollment records show Andrea Balthazar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dell Children's Medical Group

Same address

Pediatrics

1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Dell Childrens Medical Group
576 clinicians in this Medicare group

NPI 1326072943 (512) 628-1800

Texas Children's Physician Group

144 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

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

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.

JENNY THANH CHAU PA

Physician Assistant