DR. ANDREA KRICHELLE BALTHAZAR (M.D.) – Pediatric Urology Physician, NPI 1922495738
Pediatric Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
365 UROLOGY in MA
Provider Addresses for DR. ANDREA KRICHELLE BALTHAZAR (M.D.)
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (617) 355-7796
Type: Mailing
6701 FANNIN ST FL 8
HOUSTON, TX 770302608
Phone: (832) 822-3165
Type: Mailing
300 Longwood Ave
Boston, MA 021155724
Phone: (617) 355-7796
Type: Location
6701 Fannin St Fl 8
Houston, TX 770302608
Phone: (832) 822-3165
Type: Location
1250 E Marshall St
Box 980118
Richmond, VA 232985051
Phone: (804) 828-8146
Fax: (804) 828-2307
Type: Location
1301 BARBARA JORDAN BLVD STE 302
AUSTIN, TX 787233078
Phone: (512) 324-3042
Fax: (512) 324-3059
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Cook Medical LLC ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230509000470 | I | Urology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02115)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | TX | |
| Pediatric Medicine, Allergy/Immunology | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| U R O L O G Y | AR | |
| Hematology/Oncology, Pediatric Medicine | TX | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.