VIJAY BALAKRISHNAN MD
NPI 1104311596
Dermatology in National City, CA

Q: What is Vijay Balakrishnan's NPI number?

The NPI number for Vijay Balakrishnan is 1104311596. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Vijay Balakrishnan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment

655 EUCLID AVE STE 304, NATIONAL CITY, CA 91950(619) 267-8303 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2025, Sep 9, 2025, Jul 10, 2025 and 3 more (6 updates tracked since 2018).

On this page

About Vijay Balakrishnan Md NPPES

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

VIJAY BALAKRISHNAN MD (NPI 1104311596) is an individual dermatology provider in National City, California, licensed in South Carolina (LL52671) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Meridian, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1104311596

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameVIJAY BALAKRISHNANCredential: MD

Location Address655 EUCLID AVE STE 304National City, CA 91950-2974

Mailing Address510 20th St S Ste 858Birmingham, AL 35233-2028

Phone(619) 267-8303

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2018

Enumeration DateJune 27, 2018

Last NPPES UpdateOctober 8, 20256 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1104311596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in SC · LL52671✔ Licensed in ID · 9971137

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 9971137 (ID)

655 EUCLID AVE STE 304, National City, CA 91950

Open in Google Maps ↗

Secondary Practice Location 1

Location 11618 S Millenium Way Ste 100Meridian, ID 83642-6457 · Phone (208) 884-3376 · Fax (208) 884-0858

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Vijay Balakrishnan Md 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 ID42557308

PECOS Enrollment IDI20230104002595, I20250114001746

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

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91950 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier29 claims30 services$184.60 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 6

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

DR. JUSTIN STANLEY GORDON M.D.

Dermatology