MICHAEL BALDERAS (M.D.) – Cardiovascular Disease Physician, NPI 1669733341

MICHAEL BALDERAS (M.D.) is a healthcare provider. based in Harlingen, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. S2232 (TX). The NPI Number for MICHAEL BALDERAS (M.D.) is 1669733341

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BALDERAS (M.D.)
NPI
1669733341
Phone
(956) 428-5522
Address
5501 S EXPRESSWAY 77
Enumeration Date
30 May 2012
Last Update Date
11 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9564285522125
Graduation Year
2011 (15 years ago)
PAC ID
5496048902
Group Practice PAC ID
1355482035
Professional Enrollment ID
I20190904001321
Address ID
TX785508200HA2310XDRXX504
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

Provider Addresses for MICHAEL BALDERAS (M.D.)

  • 5501 S EXPRESSWAY 77

    HARLINGEN, TX 785503213

    Phone: (956) 428-5522

    Fax: (956) 412-5109

    Type: Mailing

  • 2310 N ED CAREY DR STE 1A

    HARLINGEN, TX 785508200

    Phone: (956) 428-5522

    Fax: (956) 412-5109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,213.

Total Amount is formed as General ($1,213) + Research ($0) + Ownership ($0) = $1,213.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ShockWave Medical, Inc ($629).

Total Amount

$1,213

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2019-09-04

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
I20190904001321ICardiovascular Disease (Cardiology)TXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only276225$0
99214Established patient office or other outpatient visit, 30-39 minutes253120$0
99213Established patient office or other outpatient visit, 20-29 minutes170114$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14474$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function138136$0
View full utilization report →

Insurance plans in this area (ZIP 78550)

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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: 1355482035View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineTX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Cardiovascular Disease (Cardiology)TX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Cardiovascular Disease (Cardiology), Internal MedicineTX

Reviews

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Frequently asked questions

What is the registry number for MICHAEL BALDERAS (M.D.)?
The registry entry for MICHAEL BALDERAS (M.D.) shows NPI 1669733341.
Quick check: is MICHAEL BALDERAS (M.D.) active?
Public NPPES data shows MICHAEL BALDERAS (M.D.) with an active NPI status right now.
What does the directory say MICHAEL BALDERAS (M.D.) does?
Insurance directories may phrase it differently, but here MICHAEL BALDERAS (M.D.) maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MICHAEL BALDERAS (M.D.)?
The directory associates MICHAEL BALDERAS (M.D.) with Harlingen, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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