Dr. Elissa R Ballas, DO
Radiology, Diagnostic Radiology in Apo, AE. Individual provider (NPI-1).
NPI number1285657486
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1285657486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elissa R Ballas
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 2242 | NE | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 25MB13211900 | NJ |
Practice location
48th Mdg/Raf LakenheathApo, AE
Phone 016-385-2801
Mailing address
48th Mdg/Raf LakenheathApo, AE
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