DR. OLUWASEYI SEGUN BALASIRE M.D.
NPI 1003235243
Hospitalist in Castro Valley, CA

Q: What is Oluwaseyi Balasire's NPI number?

The NPI number for Oluwaseyi Balasire is 1003235243. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Oluwaseyi Balasire's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546(510) 727-3256(510) 727-3107 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jul 12, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Oluwaseyi Segun Balasire M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLUWASEYI SEGUN BALASIRE M.D. (NPI 1003235243) is an individual hospitalist provider in Castro Valley, California, licensed in California (A152926) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003235243

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. OLUWASEYI SEGUN BALASIRECredential: M.D.

Location Address20103 LAKE CHABOT RDCastro Valley, CA 94546-5305

Mailing Address400 Chaney Rd Apt 307Smyrna, TN 37167-2650 · (813) 389-8614

Phone(510) 727-3256

Fax(510) 727-3107

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 15, 2014

Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration

✔ NPI 1003235243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A152926

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 1118626 (CA), 56261 (TN)

20103 LAKE CHABOT RD, Castro Valley, CA 94546

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Secondary Practice Locations 2

Location 11818 Albion StNashville, TN 37208-2918 · Phone (615) 341-4000

Location 2900 E Oak Hill AveKnoxville, TN 37917-4505 · Phone (865) 545-8000

Other Identifiers 2

Other1118626CA · American Board Of Internal Medicine

OtherA152926CA · State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Oluwaseyi Segun Balasire M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799045316

PECOS Enrollment IDI20190808001082

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

92%76 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$15.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$81.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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