FRED J. BALLENGER M.D. – NPI #1447258728
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

FRED BALLENGER is a physician located in ROANOKE, VA. NPPES has assigned the NPI number 1447258728 to FRED BALLENGER on July 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 5 years ago on Mar 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED BALLENGER below.

NPI Profile for
FRED J. BALLENGER

NPI Number
1447258728
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FRED J. BALLENGER
Credentials
M.D.
Primary location
2602 FRANKLIN RD SW
ROANOKE, VA 24014-1010
Phone: (540) 344-1400 Fax: (540) 344-7133
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FRED BALLENGER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARE GROUPVACG1162
MEDICAIDVA6091270
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 VA 0101027649

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
FRED BALLENGER is affiliated with the following medical group(s):
  • HOSPITAL
    • BUCHANAN GENERAL HOSPITAL
      1535 SLATE CREEK ROAD
      GRUNDY, VA 24614
    • SOVAH HEALTH MARTINSVILLE
      142 SOUTH MAIN STREET
      DANVILLE, VA 24541
    • WYTHE COUNTY COMMUNITY HOSPITAL
      600 WEST RIDGE ROAD
      WYTHEVILLE, VA 24382
  • DIALYSIS FACILITY
    • BMA - FRANKLIN COUNTY
      300 TECHNOLOGY DR
      ROCKY MOUNT, VA 24151
    • BMA - SOUTHWEST VIRGINIA
      23758 RIVERSIDE DRIVE
      GRUNDY, VA 24614
    • BMA - WYTHEVILLE
      340 PEPPERS FERRY RD
      WYTHEVILLE, VA 24382
    • DAVITA GLENVAR DIALYSIS
      3737 West Main Street
      SALEM, VA 24153
    • USRC ROANOKE LLC
      117 Duke Gloucester Street SW
      Roanoke, VA 24014

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.