1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Internal Medicine
  6. NPI Profile

DR. BALA PRAKASH M.D.
NPI 1033315932
Internal Medicine - Pulmonary Disease in Columbia, SC

Active since June 26, 2007PECOS Enrolled
PH USC PULMONARY, 300 PALMETTO HEALTH PARKWAY, COLUMBIA, SC 29212(803) 296-3273 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2020, Mar 19, 2019, Aug 13, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Bala Prakash M.d. NPPES

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

DR. BALA PRAKASH M.D. (NPI 1033315932) is an individual pulmonary disease provider in Columbia, South Carolina, licensed in South Carolina (38574) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1033315932
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BALA PRAKASHCredential: M.D.
Location AddressPH USC PULMONARY, 300 PALMETTO HEALTH PARKWAYColumbia, SC 29212-1765
Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 445-7226 · Fax (920) 445-7229
Phone(803) 296-3273
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 26, 2007
Last NPPES UpdateOctober 6, 20204 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1033315932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in SC · 38574✔ Licensed in KY · 48315✔ Licensed in NY · 260043-1
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 260043-1 (NY), 64322-20 (WI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 48315 (KY), 260043-1 (NY)
PH USC PULMONARY, Columbia, SC 29212
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1222 Station plaza north suite 400, Winthrop University Hospitalminoela, NY 11501 · Phone (561) 663-2004
Location 2200 Medical Center DrHazard, KY 41701-9466 · Phone (606) 487-1818
Location 3800 Rose StLexington, KY 40536 · Phone (859) 323-9057

Other Identifiers 1

Medicaid385746SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bala Prakash M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719103829
PECOS Enrollment IDI20260325001189, I20260401000703, I20260410001578
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

3

Medicare enrollment records show Bala Prakash reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
330 mi
General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1518911338 (859) 323-5470
Comanche County Healthcare
961 mi
Family Medicine
HWY 81 AND 70
Waurika, OK 73573
  • Reassigned Medicare billing, Oklahoma enrollment
  • 160 clinicians in this Medicare group
NPI 1235159229 (580) 228-3669
Valley View Hospital Association
1,466 mi
Pulmonary Disease
377 SYLVAN LAKE RD STE 140
Eagle, CO 81631
  • Reassigned Medicare billing, Colorado enrollment
  • 22 clinicians in this Medicare group
NPI 1033754841 (970) 384-7700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29212 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bala Prakash's NPI number?

The NPI number for Bala Prakash is 1033315932. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Bala Prakash located?

Bala Prakash practices at Ph Usc Pulmonary 300 Palmetto Health Parkway, Columbia, SC 29212. The listed phone number is (803) 296-3273.

What is Bala Prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Bala Prakash enrolled in Medicare?

Yes. Bala Prakash is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bala Prakash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bala Prakash reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Comanche County Healthcare (Waurika, OK) and Valley View Hospital Association (Eagle, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bala Prakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bala Prakash accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and BlueCross BlueShield of South Carolina list Bala Prakash as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bala Prakash was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.