DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.) – Anesthesiology Physician, NPI 1386958791

DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. N6158 (TX). The NPI Number for DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.) is 1386958791

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.)
NPI
1386958791
Phone
(972) 233-1999
Address
PO BOX 840853
Enumeration Date
28 July 2010
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134623194
Graduation Year
2008 (18 years ago)
PAC ID
0446424261
Group Practice PAC ID
2668731175
Professional Enrollment ID
I20111114000148
Address ID
TX770921704HO4800XPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.)

  • PO BOX 840853

    DALLAS, TX 752840853

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • 6606 LBJ FWY STE 200

    DALLAS, TX 752406524

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

  • PO BOX 650865

    DALLAS, TX 752650865

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • 1500 CITYWEST BLVD

    STE. 300

    HOUSTON, TX 770422300

    Phone: (713) 620-4000

    Fax: (713) 458-4229

    Type: Location

  • 1500 Citywest Blvd

    Ste. 300

    Houston, TX 770422300

    Phone: (713) 620-4000

    Fax: (713) 458-4229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Medtronic, Inc. ($32).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-11-14

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
I20111114000148IInternal MedicineTXTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3535$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00790Anesthesia for other procedure on upper abdomen1313$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 2668731175View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Where can patients find DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.)'s NPI?
You can confirm DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.) with NPI 1386958791; it appears in the national provider directory.
Is DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.)'s primary listing?
We display Dallas, Texas because that is what the record indicates for DR. ROBERTO ALEJANDRO BALLIVIAN (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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