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BALAJI KALYANARAMAN M.D., PH.D
NPI 1053573659
Urology in Florence, KY

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
7370 TURFWAY RD, FLORENCE, KY 41042(859) 212-0497(859) 282-1141 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2021, Aug 21, 2018 (2 updates tracked since 2018).

About Balaji Kalyanaraman M.d., Ph.d NPPES

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

BALAJI KALYANARAMAN M.D., PH.D (NPI 1053573659) is an individual urology provider in Florence, Kentucky, licensed in Kentucky (51926) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1053573659
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameBALAJI KALYANARAMANCredential: M.D., PH.D
Location Address7370 TURFWAY RDFlorence, KY 41042
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 212-0497 · Fax (859) 282-1141
Phone(859) 212-0497
Fax(859) 282-1141
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 26, 2008
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1053573659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in KY · 51926✔ Licensed in KY · TP713✔ Licensed in WI · 61525
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
7370 TURFWAY RD, Florence, KY 41042
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Balaji Kalyanaraman M.d., Ph.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 ID2163662644
PECOS Enrollment IDI20180918002087, I20210329000899
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 8

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
129 services129 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services101 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
87 services75 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
86 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services63 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
57 services32 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%25 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%40 patients2/55-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 4

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,020 services$1.58 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers20 claims4,200 services$5.15 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers14 claims24 services$5.42 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers14 claims40 services$5.24 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.

BANDANA WAIKHOM MD
Ophthalmology
7370 TURFWAY RD, SUITE 300
FLORENCE, KY 41042
Boone County (859) 746-1990
TARA MONDAY D.O.
Pediatrics (Adolescent Medicine)
7370 TURFWAY RD, SUITE 280
FLORENCE, KY 41042
Boone County (859) 212-4567
MRS. CANDACE LYNN KOOPMAN APRN
Nurse Practitioner
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-5125
DAVID LITTRELL MD
Family Medicine
7370 TURFWAY RD, SUITE 100
FLORENCE, KY 41042
Boone County (859) 212-4700
MS. STEPHANIE MARIE DEANGELIS D.O.
Obstetrics & Gynecology
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-5125
BARBARA MARIE OKAFOR MD
Internal Medicine (Infectious Disease)
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 757-4446
YASMEEN RENEE DAHER DO
Obstetrics & Gynecology
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-5125
COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC.
Internal Medicine (Cardiovascular Disease)
7370 TURFWAY RD, SUITE 109
FLORENCE, KY 41042
Boone County (859) 525-0005

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 Balaji Kalyanaraman's NPI number?

The NPI number for Balaji Kalyanaraman is 1053573659. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Balaji Kalyanaraman located?

Balaji Kalyanaraman practices at 7370 Turfway Rd, Florence, KY 41042. The listed phone number is (859) 212-0497.

What is Balaji Kalyanaraman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Balaji Kalyanaraman enrolled in Medicare?

Yes. Balaji Kalyanaraman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Balaji Kalyanaraman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Balaji Kalyanaraman 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.

Is Balaji Kalyanaraman affiliated with any hospitals?

According to CMS data, Balaji Kalyanaraman is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Balaji Kalyanaraman was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.