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

Individual provider Physician Assistant · NPI 1407665136

Michael Ballard, PA-C is a Physician Assistant in Albany, New York. Qualified in 2024, 2 years ago. Practices with St Peter's Health Partners Medical Associates, PC, a 480-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Phone: (518) 438-1019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407665136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing addressPo Box 14890, Albany, NY 12212-4890

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St. Peter'S Health Partners Medical Associates, P.C. — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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