DR. SADHANA BALASUBRAMANYAM MD
NPI 1134624562
Internal Medicine - Allergy & Immunology in Houston, TX

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
99.14/100
CMS Quality Rating
6550 FANNIN ST STE 1101, HOUSTON, TX 77030(713) 441-4447(713) 790-3061 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Mar 27, 2018 (2 updates tracked since 2018).

About Dr. Sadhana Balasubramanyam Md NPPES

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

DR. SADHANA BALASUBRAMANYAM MD (NPI 1134624562) is an individual allergy & immunology provider in Houston, Texas, licensed in Texas (U5924) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At Houston (2018).

NPPES Registry Identity

NPI1134624562
Entity TypeIndividualFemale
Primary Taxonomy207RA0201X
Provider Legal NameDR. SADHANA BALASUBRAMANYAMCredential: MD
Location Address6550 FANNIN ST STE 1101Houston, TX 77030-2740
Mailing Address6550 Fannin St Ste 1101Houston, TX 77030-2740
Fax(713) 790-3061
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1134624562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License Licensed in TX · U5924
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Also ListedInternal MedicineTaxonomy 207R00000X · License 390200000X (TX)
6550 FANNIN ST STE 1101, Houston, TX 77030

Accepted 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

Dr. Sadhana Balasubramanyam 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 ID4789086158
PECOS Enrollment IDI20231024000724
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 2

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 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.
48 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

99.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.89
Promoting Interoperability95
Improvement Activities40

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.

Internal Medicine (Pulmonary Disease)
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Internal Medicine
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Internal Medicine
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Internal Medicine (Geriatric Medicine)
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Allergy & Immunology
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Internal Medicine (Nephrology)
6550 FANNIN ST STE 1101
HOUSTON, TX 77030
Nurse Practitioner (Family)
6550 FANNIN ST STE 1101
HOUSTON, TX 77030

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 Sadhana Balasubramanyam's NPI number?

The NPI number for Sadhana Balasubramanyam is 1134624562. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Sadhana Balasubramanyam located?

Sadhana Balasubramanyam practices at 6550 Fannin St Ste 1101, Houston, TX 77030. The listed phone number is (713) 441-4447.

What is Sadhana Balasubramanyam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Sadhana Balasubramanyam enrolled in Medicare?

Yes. Sadhana Balasubramanyam 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 Sadhana Balasubramanyam accept?

Health plans from Community Health Choice and Molina Healthcare list Sadhana Balasubramanyam 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 Sadhana Balasubramanyam affiliated with any hospitals?

According to CMS data, Sadhana Balasubramanyam is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Sadhana Balasubramanyam was last updated on October 17, 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.