David S Ballestas MD PA
NPI 1093901282 · Specialist · Port Charlotte, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David S Ballestas MD PA is a Specialist organization in Port Charlotte, FL (NPI 1093901282).
Provider details
- NPI number
- 1093901282
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- David Ballestas, Owner/President(941) 629-7593
- License
- H87694 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medical Pavilion Clinic
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2008-05-09
Frequently asked questions
- What is David S Ballestas MD PA's NPI number?
- David S Ballestas MD PA's National Provider Identifier (NPI) is 1093901282, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David S Ballestas MD PA?
- David S Ballestas MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is David S Ballestas MD PA located?
- David S Ballestas MD PA's practice location on file with NPPES is 2525 Harbor Blvd, Port Charlotte, FL 33952-5317.
- What is David S Ballestas MD PA's phone number?
- The practice phone number listed in the NPPES registry for David S Ballestas MD PA is (941) 629-7593.
- Does David S Ballestas MD PA accept Medicare?
- David S Ballestas MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for David S Ballestas MD PA?
- The authorized official listed on David S Ballestas MD PA's NPPES record is David Ballestas, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David S Ballestas MD PA's NPI active?
- Yes — David S Ballestas MD PA's NPI (1093901282) is active in the NPPES registry as of the last update on 2008-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.