Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIJAY BALAKRISHNAN MD
NPI 1104311596
Dermatology in National City, CA

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 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Oct 8, 2025, Sep 9, 2025 and 4 more (7 updates tracked since 2018).

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 Idaho (9971137) 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
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateOctober 15, 20267 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1104311596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in ID · 9971137✔ Licensed in SC · LL52671
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.
655 EUCLID AVE STE 304, National City, CA 91950

Secondary Practice Location 1

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

Accepted 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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vijay Balakrishnan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
655 EUCLID AVE STE 304
National City, CA 91950
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
Dermatology
1618 S MILLENIUM WAY STE 100
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: Ada West Dermatology, P.C.
  • 18 clinicians in this Medicare group

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

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 7

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

Dermatology
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950
Dermatology
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950
Dermatology
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950
Dermatology (MOHS-Micrographic Surgery)
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950
Dermatology
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950
Specialist
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950
Dermatology
655 EUCLID AVE STE 304
NATIONAL CITY, CA 91950

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 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.

Where is Vijay Balakrishnan located?

Vijay Balakrishnan practices at 655 Euclid Ave Ste 304, National City, CA 91950. The listed phone number is (619) 267-8303.

What is Vijay Balakrishnan's specialty?

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

Is Vijay Balakrishnan enrolled in Medicare?

Yes. Vijay Balakrishnan 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 Vijay Balakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Balakrishnan reassigns Medicare benefits to 2 organizations: William F Resh MD, Skin & Skin Cancer Medical Group Of San Diego, Inc. (National City, CA) and Ada West Dermatology, PC (Meridian, ID). 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 Vijay Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Balakrishnan accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Vijay Balakrishnan 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.

When was this NPI record last updated?

The NPPES record for Vijay Balakrishnan was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.