SIDDHARTH BALAJI MD
NPI 1104627249
Student in an Organized Health Care Education/Training Program in Atlantis, FL
About Siddharth Balaji Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIDDHARTH BALAJI MD (NPI 1104627249) is an individual student in an organized health care education/training program in Atlantis, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siddharth Balaji Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ATLANTIS, FL 33462
ATLANTIS, FL 33462
ATLANTIS, FL 33462
ATLANTIS, FL 33462
ATLANTIS, FL 33462
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 Siddharth Balaji's NPI number?
The NPI number for Siddharth Balaji is 1104627249. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Siddharth Balaji located?
Siddharth Balaji practices at 5301 S Congress Ave, Atlantis, FL 33462. The listed phone number is (561) 313-9539.
What is Siddharth Balaji's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Siddharth Balaji enrolled in Medicare?
Yes. Siddharth Balaji is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Siddharth Balaji was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Siddharth Balaji, MD · NPI 1104627249
Student in an Organized Health Care Education/Training Program provider in Atlantis, Florida. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1104627249 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5301 S CONGRESS AVE, Atlantis, FL 33462-1149
- **Phone:** (561) 313-9539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104627249) · Data from the CMS NPPES public registry.