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

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: November 01, 2026.

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

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 11915 White AveKnoxville, TN 37916 · Phone (865) 331-1720 · Fax (865) 331-2823
Location 21117 29th St SGreat Falls, MT 59405-5306 · Phone (406) 731-8200
Location 3394 Singleton Ridge RdConway, SC 29526-9150 · Phone (843) 347-8050 · Fax (843) 347-8049
Location 41638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-6910 · Fax (910) 615-5626
Location 5150 Robeson StFayetteville, NC 28301-5570 · Phone (910) 615-1000

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 Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Kamalesh Bala reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cumberland County Hospital System Inc
Same address
Family Medicine
6387 RAMSEY ST UNIT 100
Fayetteville, NC 28311
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1134162597 (910) 609-3879
The Charlotte-Mecklenburg Hospital Authority
70 mi
General Practice
2301 US HIGHWAY 74 W
Wadesboro, NC 28170
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1326514688 (704) 994-4500
Nhcs Physicians Inc
80 mi
Physician Assistant
2460 CURTIS ELLIS DRIVE
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 205 clinicians in this Medicare group
NPI 1003028630 (252) 443-8540
Henderson County Hospital Corporation
204 mi
Orthopaedic Surgery
1027 FLEMING ST
Hendersonville, NC 28791
  • Reassigned Medicare billing, North Carolina enrollment
  • 401 clinicians in this Medicare group
NPI 1982033031 (828) 692-5781
Thompson Oncology Group
291 mi
Hematology & Oncology
1915 WHITE AVE
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 139 clinicians in this Medicare group
NPI 1619975737 (865) 541-1720
Benefis Hospitals, Inc.
1,869 mi
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000

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.

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
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.
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
Quality60.98
Promoting Interoperability100
Improvement Activities40
Cost48.1

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)
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
DR. LINDSEY ELIZABETH WOODY MD
Internal Medicine (Medical Oncology)
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
ANUSHA REDDY MADADI MD
Internal Medicine (Hematology & Oncology)
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
JULIA ANDREWS MCDONALD
Nurse Practitioner (Family)
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
DR. SYDNEY WELT MD
Internal Medicine (Medical Oncology)
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
AVINASH PASAM MD
Internal Medicine (Medical Oncology)
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
TERRI RICHARDSON PA-C
Physician Assistant
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840
MADISON TAYLOR WILLIAMS PA-C
Physician Assistant
6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311
Cumberland County (910) 615-3840

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 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.

Where is Kamalesh Bala located?

Kamalesh Bala practices at 6387 Ramsey St Unit 140, Fayetteville, NC 28311. The listed phone number is (910) 615-3840.

What is Kamalesh Bala's specialty?

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

Is Kamalesh Bala enrolled in Medicare?

Yes. Kamalesh Bala 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.

Which organizations bill Medicare for Kamalesh Bala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamalesh Bala reassigns Medicare benefits to 6 organizations: Cumberland County Hospital System Inc (Fayetteville, NC), The Charlotte-Mecklenburg Hospital Authority (Wadesboro, NC), Nhcs Physicians Inc (Rocky Mount, NC), Henderson County Hospital Corporation (Hendersonville, NC), Thompson Oncology Group (Knoxville, TN) and 1 more organization, listed in the Medicare section above. 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 Kamalesh Bala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kamalesh Bala accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Cigna Healthcare list Kamalesh Bala 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 Kamalesh Bala affiliated with any hospitals?

According to CMS data, Kamalesh Bala is affiliated with Benefis Hospitals Inc and Cape Fear Valley Medical Center.

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 10 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.