Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Roderick Yumol Ballelos, DO

Individual provider Emergency Medicine Physician · NPI 1336265164

Dr. Roderick Yumol Ballelos, DO practises Emergency Medicine in Carmichael, California. Qualified in 2006, 20 years ago. Practices with Shadow Emergency Physicians PLLC, a 109-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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.

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Practice location Address checks out

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone: (562) 230-4763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A 10818 (CA)

Record details

NPI number1336265164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Shadow Emergency Physicians Pllc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients284
Services billed 421 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Shadow Emergency Physicians PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 109 clinicians in the practice; 12 are shown here.

Other providers in Carmichael