DR. JENIFER DINIS BALLESTAS (MD) – Maternal & Fetal Medicine Physician, NPI 1457609539

DR. JENIFER DINIS BALLESTAS (MD) is a healthcare provider. based in Houston, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. Q7860 (TX). The NPI Number for DR. JENIFER DINIS BALLESTAS (MD) is 1457609539

Main info

Female
Sole Proprietor
17 Years Of Experience
Name
DR. JENIFER DINIS BALLESTAS (MD)
NPI
1457609539
Phone
(713) 500-6421
Address
6431 FANNIN ST
Enumeration Date
21 August 2012
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2819412237
Graduation Year
2009 (17 years ago)
PAC ID
7315236098
Group Practice PAC ID
2365342938
Professional Enrollment ID
I20160721002247
Address ID
TX774773852ST12603FWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,165 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. JENIFER DINIS BALLESTAS (MD)

  • 6431 FANNIN ST

    MSB 3.262

    HOUSTON, TX 770301501

    Phone: (713) 500-6421

    Fax: (713) 500-0799

    Type: Mailing

  • 6651 MAIN ST STE 1020

    HOUSTON, TX 770302351

    Phone: (832) 826-7450

    Fax: (832) 825-9351

    Type: Mailing

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: 2016-07-21

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
I20160721002247IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77030)

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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: 2365342938View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What is the registry number for DR. JENIFER DINIS BALLESTAS (MD)?
The registry entry for DR. JENIFER DINIS BALLESTAS (MD) shows NPI 1457609539.
Is DR. JENIFER DINIS BALLESTAS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JENIFER DINIS BALLESTAS (MD) as active.
What type of care does DR. JENIFER DINIS BALLESTAS (MD) provide?
DR. JENIFER DINIS BALLESTAS (MD)'s profile centers on Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JENIFER DINIS BALLESTAS (MD)?
The directory associates DR. JENIFER DINIS BALLESTAS (MD) with Houston, Texas. Check all listed addresses for suites or satellite offices.
Can I export DR. JENIFER DINIS BALLESTAS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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