BALVINDAR S SAREEN MD
NPI 1023041019
Internal Medicine in Fond Du Lac, WI

Q: What is Balvindar Sareen's NPI number?

The NPI number for Balvindar Sareen is 1023041019. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Balvindar Sareen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Balvindar Sareen was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

430 E DIVISION ST, FOND DU LAC, WI 54935(315) 637-7800(315) 637-7808 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Balvindar S Sareen Md NPPES

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

BALVINDAR S SAREEN MD (NPI 1023041019) is an individual internal medicine provider in Fond Du Lac, Wisconsin, licensed in New York (179342-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1023041019

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBALVINDAR S SAREENCredential: MD

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370

Phone(315) 637-7800

Fax(315) 637-7808

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateJuly 10, 2006

Last NPPES UpdateJune 12, 2015

✔ NPI 1023041019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 179342-1

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 179342-1 (NY)

Also ListedHospitalistTaxonomy 208M00000X · License 179342-1 (NY)

430 E DIVISION ST, Fond Du Lac, WI 54935

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Other Identifiers 1

Medicare UPINE59132NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Balvindar S Sareen Md 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 ID840295341

PECOS Enrollment IDI20060915000172

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.

Medicare Billing Reassignments

Medicare enrollment records show Balvindar Sareen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC

769 mi

Anesthesiology

100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595

Reassigned Medicare billing, New York enrollment
1,663 clinicians in this Medicare group

NPI 1740687458 (914) 493-2844

Hospitalist Medicine Physicians Of New York, PLLC

773 mi

Emergency Medicine

2475 SAINT RAYMONDS AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
244 clinicians in this Medicare group

NPI 1205944329 (718) 920-8543

North Shore-Lij Medical PC

781 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

Cogent Medical Care PC

817 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

Central Suffolk Hosptial

829 mi

Nurse Practitioner

1300 ROANOKE AVE
Riverhead, NY 11901

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Central Suffolk Hospital
134 clinicians in this Medicare group

NPI 1841637741 (631) 548-6101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

77 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

70 services60 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330107

Location1 Heros WayRiverhead, NY 11901 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)