KRISHNA BALABHADRAPATRUNI MD
NPI 1154559664
Internal Medicine in Detroit, MI

Q: What is Krishna Balabhadrapatruni's NPI number?

The NPI number for Krishna Balabhadrapatruni is 1154559664. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Q: What is Krishna Balabhadrapatruni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment

4201 ST ANTOINE, UHC 5C, DETROIT, MI 48201(313) 577-4342(313) 745-4707 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Krishna Balabhadrapatruni Md NPPES

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

KRISHNA BALABHADRAPATRUNI MD (NPI 1154559664) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301094681) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154559664

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKRISHNA BALABHADRAPATRUNICredential: MD

Location Address4201 ST ANTOINE, UHC 5CDetroit, MI 48201

Mailing Address4201 St Antoine, Uhc 5cDetroit, MI 48201 · (313) 577-4342 · Fax (313) 745-4707

Phone(313) 577-4342

Fax(313) 745-4707

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJune 24, 2009

✔ NPI 1154559664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301094681

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301094681 (MI)

4201 ST ANTOINE, Detroit, MI 48201

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Krishna Balabhadrapatruni 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 ID3274981055

PECOS Enrollment IDI20231205001520

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 4

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.

249 services136 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

203 services54 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

49 services38 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360041

Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360078

Location6847 N ChestnutRavenna, OH 44266 · Portage County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

GEOFFREY ROSS BARGER MD

Psychiatry & Neurology (Neurology)

4201 ST ANTOINE, SUITE 8D
DETROIT, MI 48201

Wayne County (313) 745-4275

KUMAR RAJAMANI MD

Psychiatry & Neurology (Neurology)

4201 ST ANTOINE, SUITE 8A & 8B
DETROIT, MI 48201

Wayne County (313) 745-4275

SYEDA LAIBAH ALI M.D.

Student in an Organized Health Care Education/Training Program

4201 ST ANTOINE, SUITE 8C-UHC
DETROIT, MI 48201

Wayne County (313) 745-1302

ROBERT PHILIP LISAK MD

Psychiatry & Neurology (Neurology)

4201 ST ANTOINE, SUITE 8A & 8B
DETROIT, MI 48201

Wayne County (313) 745-4275

DR. JACOB GORDON SMITH DO

Student in an Organized Health Care Education/Training Program

4201 ST ANTOINE, UHC-9C
DETROIT, MI 48201

Wayne County (313) 745-5146

CRISTINA JAGEKA MD

Student in an Organized Health Care Education/Training Program

4201 ST ANTOINE
DETROIT, MI 48201

Wayne County (313) 745-3000

JOEL DAVID STEINBERG MD

Internal Medicine (Geriatric Medicine)

4201 ST ANTOINE, UNIVERSITY HEALTH CENTER STE 5B
DETROIT, MI 48201

Wayne County (888) 264-0102

DARLENE JOYCE ALLEN CNM

Midwife

4201 ST ANTOINE, STE 4C
DETROIT, MI 48201

Wayne County (313) 745-4525

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 Krishna Balabhadrapatruni's NPI number?

The NPI number for Krishna Balabhadrapatruni is 1154559664. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Krishna Balabhadrapatruni located?

Krishna Balabhadrapatruni practices at 4201 St Antoine Uhc 5C, Detroit, MI 48201. The listed phone number is (313) 577-4342.

What is Krishna Balabhadrapatruni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Krishna Balabhadrapatruni enrolled in Medicare?

Yes. Krishna Balabhadrapatruni 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 Krishna Balabhadrapatruni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Krishna Balabhadrapatruni 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 Krishna Balabhadrapatruni affiliated with any hospitals?

According to CMS data, Krishna Balabhadrapatruni is affiliated with Parma Community General Hospital, University Hospitals Portage Medical Center, Uh Cleveland Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Krishna Balabhadrapatruni was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.