DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) – Internal Medicine Physician, NPI 1164626768

DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) is a healthcare provider. based in Galveston, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. BP10019928 (TX). The NPI Number for DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) is 1164626768

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD)
NPI
1164626768
Phone
(409) 763-4135
Address
500 TIKI DR APT 204
Enumeration Date
14 June 2007
Last Update Date
1 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2145921329
Graduation Year
2004 (22 years ago)
PAC ID
4385719749
Group Practice PAC ID
8527415462
Professional Enrollment ID
I20240611001072
Address ID
ME044013979BA360XXBROA200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD)

  • 500 TIKI DR APT 204

    GALVESTON, TX 775547152

    Phone: (409) 763-4135

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111215000121IInternal MedicineTXTBD
I20240611001072IInternal MedicineMETBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3322$0
99239Hospital discharge day management, more than 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 77554)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527415462View full group profile
NameSpecialtyState
Nurse PractitionerME
Internal MedicineNJ
Nurse PractitionerME
Geriatric MedicineNY
Internal MedicineME
Physician AssistantME
Internal MedicineNJ
Family PracticeME
H O S P I T A L I S TME
Family PracticeWI

Reviews

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Frequently asked questions

How is DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) with NPI 1164626768.
Is DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) listed as active for patients and plans?
The listing shows DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) as active in the NPI system.
What is DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) best known for clinically?
Directory data describes DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD)?
DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD)'s geographic hint is Galveston, Texas in our summary view.
Why does DR. JEEATHBELL NONESUPPLIED BALBASTRO (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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