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GOKULAKRISHNAN BALASUBRAMANIAN M.D.
NPI 1104079177
Internal Medicine - Gastroenterology in Milwaukee, WI

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVENUE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226(414) 805-3310(414) 805-3885 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Dec 23, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Gokulakrishnan Balasubramanian M.d. NPPES

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

GOKULAKRISHNAN BALASUBRAMANIAN M.D. (NPI 1104079177) is an individual gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (62348) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104079177
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGOKULAKRISHNAN BALASUBRAMANIANCredential: M.D.
Location Address9200 W WISCONSIN AVENUE, DIVISION OF GASTROENTEROLOGYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Avenue, Division Of GastroenterologyMilwaukee, WI 53226-3522 · (414) 805-3310 · Fax (414) 805-3885
Phone(414) 805-3310
Fax(414) 805-3885
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 3, 2008
Last NPPES UpdateSeptember 14, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1104079177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 62348
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9200 W WISCONSIN AVENUE, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid0230010OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource 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

Gokulakrishnan Balasubramanian 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 ID8628225042
PECOS Enrollment IDI20231008000138
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 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
42 services42 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.
33 services29 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services25 patients
Test for tone and sensation of rectum and anus 91120
This procedure checks the health of the lower digestive tract. The doctor gently examines the area to assess its muscle strength and sensitivity. This helps in detecting any abnormal conditions. It's a standard, safe procedure with minimal discomfort.
19 services19 patients
Study of rectum sensitivity and function 91122
This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
4 suppliers20 claims569 services$6.32 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,241 services$0.48 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.

DR. MARK WALTER BOSBOUS
Plastic Surgery
9200 W WISCONSIN AVENUE, PLASTIC SURGERY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. BRIAN ROBERTSON-DICK MD
Physical Medicine & Rehabilitation
9200 W WISCONSIN AVENUE, PHYSICAL MEDICINE AND REHABILITATION
MILWAUKEE, WI 53226
Milwaukee County (414) 805-7342
SUPATRA A AGARWAL AA
Anesthesiologist Assistant
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8700
PROF. KONDRAGUNTA RAJENDRA PRASAD MD
Transplant Surgery
9200 W WISCONSIN AVENUE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6400
DR. PRERNA RAJ PANDYA M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9200 W WISCONSIN AVENUE, UROGYNECOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
SHERVIN MIRSHAHI M.D.
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
JING QI MD
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
MR. BRIAN G CARLSON MSN
Nurse Practitioner (Acute Care)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3750

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 Gokulakrishnan Balasubramanian's NPI number?

The NPI number for Gokulakrishnan Balasubramanian is 1104079177. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Gokulakrishnan Balasubramanian located?

Gokulakrishnan Balasubramanian practices at 9200 W Wisconsin Avenue Division Of Gastroenterology, Milwaukee, WI 53226. The listed phone number is (414) 805-3310.

What is Gokulakrishnan Balasubramanian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gokulakrishnan Balasubramanian enrolled in Medicare?

Yes. Gokulakrishnan Balasubramanian 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 Gokulakrishnan Balasubramanian accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and Network Health list Gokulakrishnan Balasubramanian 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 Gokulakrishnan Balasubramanian affiliated with any hospitals?

According to CMS data, Gokulakrishnan Balasubramanian is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Gokulakrishnan Balasubramanian was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.