DONNA BALDASSARE, DO — NPI 1962662478 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in SAN MATEO, CA)

CMS-1500 Box 24J / 33a • NPI

1962662478

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RH0002X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

1875 S GRANT ST, SAN MATEO, CA, 94402-2666

✓ 9-Digit EDI 837 ZIP+4 (94402-2666)

Practice Phone & Referral Fax

(888) 227-8884

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962662478 (DONNA BALDASSARE, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1962662478` (NPI-1 Individual Practitioner)
Provider / Legal Name	DONNA BALDASSARE, DO
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RH0002X` (Internal Medicine, Hospice and Palliative Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	1875 S GRANT ST, SAN MATEO, CA, 94402-2666
Practice Telephone / Fax	Tel: (888) 227-8884
Administrative Mailing Address	1875 S GRANT ST STE 760, SAN MATEO, CA, 94402-2670
Enumeration & Last Sync	Enumerated: 2008-06-10 \| CMS Record Updated: 2025-11-05

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1875 S GRANT ST, SAN MATEO, CA, 94402-2666

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Plain-English Taxonomy & CMS Crosswalk (207RH0002X)

What Does Taxonomy Code 207RH0002X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RH0002X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 17 (Physician/Hospice and Palliative Care)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DONNA BALDASSARE, DO)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RH0002X` — Internal Medicine, Hospice and Palliative Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: NC \| License: `2016-02456` \| Primary: Secondary
`207RH0002X` — Internal Medicine, Hospice and Palliative Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `23709` \| Primary: Yes (Primary)
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: NC \| License: `2016-02456` \| Primary: Secondary
`2084A0401X` — Psychiatry & Neurology, Addiction Medicine Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: NC \| License: `2016-02456` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: VA \| License: `0102203602` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: SC \| License: `83751` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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DONNA BALDASSARE, DO (NPI #1962662478)