KAMALESH KUMAR BALA M.D.
NPI 1093017253
Internal Medicine - Hematology & Oncology in Fayetteville, NC

Q: What is Kamalesh Bala's NPI number?

The NPI number for Kamalesh Bala is 1093017253. It was assigned to this individual provider in the NPPES registry on November 21, 2010.

Q: What is Kamalesh Bala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Kamalesh Bala was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 November 21, 2010PECOS EnrolledAccepts Medicare Assignment

72.72/100

CMS Quality Rating

6387 RAMSEY ST UNIT 140, FAYETTEVILLE, NC 28311(910) 615-3840(910) 321-6216 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Jun 16, 2025, May 8, 2025 and 6 more (9 updates tracked since 2019).

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About Kamalesh Kumar Bala M.d. NPPES

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

KAMALESH KUMAR BALA M.D. (NPI 1093017253) is an individual hematology & oncology provider in Fayetteville, North Carolina, licensed in North Carolina (2019-02784) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1093017253

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameKAMALESH KUMAR BALACredential: M.D.

Location Address6387 RAMSEY ST UNIT 140Fayetteville, NC 28311-9442

Mailing Address1915 White AveKnoxville, TN 37916-2300 · (865) 331-1720 · Fax (865) 331-2823

Phone(910) 615-3840

Fax(910) 321-6216

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 21, 2010

Last NPPES UpdateDecember 29, 20259 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1093017253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in NC · 2019-02784✔ Licensed in IA · 40545✔ Licensed in SC · 88745✔ Licensed in WI · 101507✔ Licensed in MT · 165854✔ Licensed in TN · 58677✔ Licensed in VA · 0101273972

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License P69451 (NY)

6387 RAMSEY ST UNIT 140, Fayetteville, NC 28311

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Secondary Practice Locations 5

Location 11117 29th St SGreat Falls, MT 59405-5306 · Phone (406) 731-8200

Location 2394 Singleton Ridge RdConway, SC 29526-9150 · Phone (843) 347-8050 · Fax (843) 347-8049

Location 3150 Robeson StFayetteville, NC 28301-5570 · Phone (910) 615-1000

Location 41638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-6910 · Fax (910) 615-5626

Location 51915 White AveKnoxville, TN 37916 · Phone (865) 331-1720 · Fax (865) 331-2823

Other Identifiers 2

Medicaid1093017253IA

MedicaidQ046659TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Kamalesh Kumar Bala 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 ID3779733977

PECOS Enrollment IDI20200206002238, I20260108002777

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 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.

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.

76 services55 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

66 services52 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28311 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

72.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.98

Promoting Interoperability

100

Improvement Activities

Cost

48.1

Other Providers at the Same Location NPPES 8

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

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Internal Medicine (Hematology & Oncology)