RONALDO S BALBOA (M.D.) – Internal Medicine Physician, NPI 1417941055

RONALDO S BALBOA (M.D.) is a healthcare provider. based in Port huron, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. RB028997 (MI). The NPI Number for RONALDO S BALBOA (M.D.) is 1417941055

Main info

Male
68 Years Of Experience
Accepts Medicare Assignment
Name
RONALDO S BALBOA (M.D.)
NPI
1417941055
Phone
(810) 966-9556
Address
1201 STONE ST
Enumeration Date
9 September 2005
Last Update Date
17 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109669556
Graduation Year
1958 (68 years ago)
PAC ID
7012826886
Professional Enrollment ID
I20090728000335
Address ID
MI480603563PO1201XSTXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for RONALDO S BALBOA (M.D.)

  • 1201, Stone Street, Port Huron, Saint Clair County, Michigan, 48060, United States

    STE. 5

    PORT HURON, MI 480603563

    Phone: (810) 966-9556

    Fax: (810) 966-4898

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($42).

Total Amount

$120

General + Research + Ownership

Payments

6

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-07-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090728000335IInternal MedicineMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8831$0
99213Established patient office or other outpatient visit, 20-29 minutes3018$0
36415Insertion of needle into vein for collection of blood sample2717$0
G0442Annual alcohol misuse screening, 5 to 15 minutes2525$0
G0444Annual depression screening, 5 to 15 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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Reviews

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Frequently asked questions

What is the registry number for RONALDO S BALBOA (M.D.)?
The registry entry for RONALDO S BALBOA (M.D.) shows NPI 1417941055.
Quick check: is RONALDO S BALBOA (M.D.) active?
Public NPPES data shows RONALDO S BALBOA (M.D.) with an active NPI status right now.
What services align with RONALDO S BALBOA (M.D.)'s listing?
RONALDO S BALBOA (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit RONALDO S BALBOA (M.D.) in Port Huron, Michigan?
For routing, start with Port Huron, Michigan for RONALDO S BALBOA (M.D.), then verify phone and hours locally.
Why is information missing for RONALDO S BALBOA (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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