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

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: July 26, 2026.

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

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 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-7796
Location 21250 E Marshall St, Box 980118Richmond, VA 23298-5051 · Phone (804) 828-8146 · Fax (804) 828-2307
Location 36701 Fannin St Fl 8Houston, TX 77030-2608 · Phone (832) 822-3165

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

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.

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
1301 BARBARA JORDAN BLVD STE 302
AUSTIN, TX 78723
Travis County (512) 472-6134
KELLY JEANNE NAST M.D.
Urology (Pediatric Urology)
1301 BARBARA JORDAN BLVD STE 302
AUSTIN, TX 78723
Travis County (512) 472-6134
DR. MARY KATHLEEN WANG M.D.
Urology
1301 BARBARA JORDAN BLVD STE 302
AUSTIN, TX 78723
Travis County (512) 472-6134
ELIZABETH ABIGAIL GOMEZ
Physician Assistant
1301 BARBARA JORDAN BLVD STE 302
AUSTIN, TX 78723
Travis County (512) 472-6134
DR. HOANG-KIM THI LE M.D.
Urology (Pediatric Urology)
1301 BARBARA JORDAN BLVD STE 302
AUSTIN, TX 78723
Travis County (512) 324-3042

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 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.

Where is Andrea Balthazar located?

Andrea Balthazar practices at 1301 Barbara Jordan Blvd Ste 302, Austin, TX 78723. The listed phone number is (512) 324-3042.

What is Andrea Balthazar's specialty?

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

Is Andrea Balthazar enrolled in Medicare?

Yes. Andrea Balthazar 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 Andrea Balthazar accept?

Health plans from Moda Health Plan, Inc. list Andrea Balthazar 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 Andrea Balthazar was last updated on February 15, 2026, 5 months ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. 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.