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WILLIAM F BALISTRERI M.D.
NPI 1952338378
Pediatrics - Pediatric Gastroenterology in Cincinnati, OH

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, ML 2010, CINCINNATI, OH 45229(513) 636-4415(513) 636-7805 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William F Balistreri M.d. NPPES

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

WILLIAM F BALISTRERI M.D. (NPI 1952338378) is an individual pediatric gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35.042009) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cincinnati Children's Hospital Medical Center, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1952338378
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameWILLIAM F BALISTRERICredential: M.D.
Location Address3333 BURNET AVE, ML 2010Cincinnati, OH 45229-3039
Mailing Address3333 Burnet Ave, Ml 5021Cincinnati, OH 45229-3039 · (513) 636-4225 · Fax (513) 636-2511
Phone(513) 636-4415
Fax(513) 636-7805
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 30, 2018
✔ NPI 1952338378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in OH · 35.042009✔ Licensed in KY · 27397
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3333 BURNET AVE, Cincinnati, OH 45229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

William F Balistreri 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 ID7416903042
PECOS Enrollment IDI20050328000414, I20190404001576
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

OwnershipVoluntary non-profit - Private
CMS Certification Number363300
Location3333 Burnet AvenueCincinnati, OH 45229 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 William Balistreri's NPI number?

The NPI number for William Balistreri is 1952338378. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is William Balistreri located?

William Balistreri practices at 3333 Burnet Ave Ml 2010, Cincinnati, OH 45229. The listed phone number is (513) 636-4415.

What is William Balistreri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is William Balistreri enrolled in Medicare?

Yes. William Balistreri 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 William Balistreri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list William Balistreri 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.

Is William Balistreri affiliated with any hospitals?

According to CMS data, William Balistreri is affiliated with Cincinnati Children's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for William Balistreri was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.