Individual provider

Elpidia Balbastro, M.D.

Hematology & Oncology Physician Medical Oncology Physician Medicare enrolled

Elpidia Balbastro, M.D. is a Medical Oncology Physician in Opelousas, LA, registered under NPI 1386614345. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1200 HOSPITAL DR STE 2, Opelousas, LA 70570. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1200 HOSPITAL DR STE 2, Opelousas, LA 70570 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
J7417 TX Hematology & Oncology Physician
40557 KY Hematology & Oncology Physician
036085269 IL Hematology & Oncology Physician
MD0000041542 TN Hematology & Oncology Physician
036085269 IL Medical Oncology Physician
309969 LA Medical Oncology Physician primary

Licences are recorded in 5 states: TX, KY, IL, TN, LA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Hematology/oncology
PAC ID
0547261083
Enrollment ID
I20090514000097

Medicare enrolment is recorded as approved under the provider type Practitioner - Hematology/oncology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 5 states

This provider holds licences in 5 states: Illinois, Kentucky, Louisiana, Tennessee and Texas. The practice address on file is in Opelousas, LA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
036085269
Specialty
Hematology & Oncology Physician
Verify with the IL board →
KY Kentucky
Licence
40557
Specialty
Hematology & Oncology Physician
Verify with the KY board →
LA Louisiana practice address
Licence
309969
Specialty
Medical Oncology Physician
Verify with the LA board →
TN Tennessee
Licence
MD0000041542
Specialty
Hematology & Oncology Physician
Verify with the TN board →
TX Texas
Licence
J7417
Specialty
Hematology & Oncology Physician
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical Oncology covers

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. NUCC Health Care Provider Taxonomy, code 207RX0202X
Allopathic & Osteopathic Physicians Internal Medicine Medical Oncology

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RH0003X Hematology & Oncology Physician Hematology & Oncology J7417 TX
207RH0003X Hematology & Oncology Physician Hematology & Oncology 40557 KY
207RH0003X Hematology & Oncology Physician Hematology & Oncology 036085269 IL
207RH0003X Hematology & Oncology Physician Hematology & Oncology MD0000041542 TN
207RX0202X Medical Oncology Physician Medical Oncology 036085269 IL
207RX0202X Medical Oncology Physician Medical Oncology 309969 LA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1386614345 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 24, 2006
Last updatedFeb 21, 2023
StatusActive
Sole proprietorNo
GenderFemale
CredentialM.D.
Practice address 1200 HOSPITAL DR STE 2
Opelousas, LA 70570
(337) 942-7898
Fax (337) 942-7808
Mailing address 5959 S SHERWOOD FOREST BLVD
Baton Rouge, LA 70816
Other identifiers 1234850 · Other
000000236043 · Other (TN)
00000504506 · Other (KY)
020248399 · Other
036085269 · Other (IL)
0910609 · Other (KY)
123712 · Other (KY)
271459 · Other
3827817 · Medicaid (TN)
41960 · Other (TN)
5080652 · Other
7100021930 · Medicaid (KY)
G09596 · Other (KY)
The last update on file is Feb 21, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1386614345 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 8 6 6 1 4 3 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 3 1 8 3 8

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1386614345?
NPI 1386614345 is the National Provider Identifier assigned to Elpidia Balbastro, M.D. in Opelousas, LA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical Oncology cover?
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
How do I contact Elpidia Balbastro, M.D.?
The phone number on file with NPPES is (337) 942-7898, last updated Feb 21, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Elpidia Balbastro, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1386614345 a valid number?
Yes. 1386614345 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.