Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184679151 Individual Practitioner Male Practitioner

Dr. Edwin Ballelos , MD

Pediatrics • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Ballelos, MD is a registered healthcare professional specializing in Pediatrics in Orlando, FL. Practice services are available at 4101 TOWN CTR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4101 Town Ctr Blvd

Orlando, FL 328375846

Telephone 4078503497
Fax 4078510421
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
354 Specialists

Practicing in Orlando, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME76442

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME0076442

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
008475100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Mark Payne , PA-C

Physician Assistant

NPI 1063506681

Physician Assistant (Certified)

NPI 1508549296

PHYSICIANASSISTANT

NPI 1578518130

Doctor of Medicine (M.D.)

Dr. Leah Lowe , DNP, APRN, CPNP-AC

Pediatrics - Pediatric Emergency Medicine

NPI 1871181719

Doctor of Nursing Practice, Advanced Practice Registered Nurse, CPNPAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 4101 TOWN CTR BLVD, ORLANDO, FL 328375846 (Tel: 4078503497)

📍
Updated Business Mailing Address February 14, 2014

Registered at PO BOX 191, ROCKLAND, DE 197320191 (Tel: 3026514488)

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as EDWIN BALLELOS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Specialist (License #ME0076442 in FL)

🟢
Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184679151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: February 14, 2014
Sole Proprietor: No

Mailing Address

Po Box 191

Rockland, DE 197320191

Phone: 3026514488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.