Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Ballas, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164789780

Derek Ballas, DO is an Obstetrics/Gynecology in Annapolis, Maryland. Graduated from West Virginia School of Osteopathic Medicine in 2012, 14 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Maryland and Ohio.

Years since qualifying
14
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MD, OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2000 Medical Pkwy Ste 309
Annapolis, MD 21401-3745
Phone: (410) 224-1133
Fax: (410) 266-1639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2003 Medical Pkwy Ste 350, Annapolis, MD 21401-3081 — (443) 951-4286
  • 4175 N Hanson Ct Ste 203, Bowie, MD 20716-3183 — (410) 224-4442
  • 202 Coursevall Dr, Centreville, MD 21617-2804 — (410) 810-0767
  • 7501 Greenway Center Dr Ste 910, Greenbelt, MD 20770-3514 — (301) 982-0657

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence H91155 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1164789780
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address2000 Medical Pkwy Ste 409, Annapolis, MD 21401-3746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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