Matthew Ballenberger, MD
Internal Medicine, Pulmonary Disease in Riverside, Rhode Island
1497296685- Practice location
- 375 Wampanoag Trl, Riverside, RI 02915-2232
- Phone
- 401-649-4070
- Fax
- 401-649-4071
- Last updated
- May 30, 2024
Matthew Ballenberger is an Internal Medicine, Pulmonary Disease based in Riverside, RI. Matthew Ballenberger practices in Riverside, RI and has the professional credentials of MD. The NPI Number for Matthew Ballenberger is 1497296685 and holds a License No. 73520 (CT). The current practice location address for Matthew Ballenberger is 375 Wampanoag Trl, Riverside, RI 02915-2232 and can be reached out via phone at 401-649-4070 and via fax at 401-649-4071.
Provider Profile Details
- NPI Number
- 1497296685
- Provider Name
- Matthew Ballenberger
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 375 Wampanoag Trl, Riverside, RI 02915-2232
- Phone Number
- 401-649-4070
- Fax Number
- 401-649-4071
- Primary Taxonomy
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 20, 2017
- Last Update Date
- May 30, 2024
- Certification Date
- May 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Wampanoag Trl
Riverside, RI 02915-2232 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-2232
- Phone Number
- 401-649-4070
- Fax Number
- 401-649-4071
Provider Business Mailing Address Details
- Address
- Dept 3010, Po Box 986524
Boston, MA 02298-6524 - City
- Boston
- State
- MA
- Zip
- 02298-6524
- Phone Number
- 833-924-5546
License Information
- License Number (1)
- 73520
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD19716
- License State (2)
- RI
- Taxonomy (2)
- Internal Medicine, Critical Care Medicine · 207RC0200X
- License Number (3)
- MD19716
- License State (3)
- RI
- Taxonomy (3)
- Internal Medicine, Sleep Medicine · 207RS0012X
- License Number (4)
- MD19716
- License State (4)
- RI
- Taxonomy (4)
- Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
- License Number (5)
- 306174
- License State (5)
- NY
- Taxonomy (5)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Pulmonary Disease providers near Riverside, RI
View all Internal Medicine, Pulmonary Disease providers in Riverside →Frequently Asked Questions
What is the NPI number of Matthew Ballenberger, MD?
The NPI number of Matthew Ballenberger, MD is 1497296685. It was assigned on March 20, 2017 and is currently active in the NPPES registry.
What is the specialty of Matthew Ballenberger, MD?
Matthew Ballenberger, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in CT under license number 73520.
Where does Matthew Ballenberger, MD practice?
The practice location is 375 Wampanoag Trl, Riverside, RI 02915-2232. The office can be reached at 401-649-4070 (phone) or 401-649-4071 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497296685 directly on the NPPES registry website.