SUJATA S. BALULAD, MD., PA
NPI 1154897130
Internal Medicine - Clinical Cardiac Electrophysiology in Leesburg, FL
About Sujata S. Balulad, Md., Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUJATA S. BALULAD, MD., PA (NPI 1154897130) is a healthcare organization registered as a clinical cardiac electrophysiology in Leesburg, Florida and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Summerfield and lists Sujata Shankarappa Balulad, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sujata S. Balulad, Md., Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sujata S. Balulad, MD., PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sujata S. Balulad, MD., PA's NPI number?
The NPI number for Sujata S. Balulad, MD., PA is 1154897130. It was assigned to this organization in the NPPES registry on October 17, 2018.
Where is Sujata S. Balulad, MD., PA located?
Sujata S. Balulad, MD., PA is located at 33041 Professional Dr Ste 101, Leesburg, FL 34788. The listed phone number is (352) 478-0010.
What is Sujata S. Balulad, MD., PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.
Is Sujata S. Balulad, MD., PA enrolled in Medicare?
Yes. Sujata S. Balulad, MD., PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sujata S. Balulad, MD., PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sujata S. Balulad, MD., PA, in Cardiac Electrophysiology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sujata S. Balulad, MD., PA accept?
Health plans from Ambetter Health and Ambetter of Alabama list Sujata S. Balulad, MD., PA 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 Sujata S. Balulad, MD., PA was last updated on July 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sujata S. Balulad, Md., Pa · NPI 1154897130
Clinical Cardiac Electrophysiology organization in Leesburg, Florida. Organization record, active in the CMS NPPES registry since October 17, 2018.
## Identity
- **NPI:** 1154897130 (Entity type: Organization)
- **Enumerated:** October 17, 2018
- **Primary specialty:** Internal Medicine - Clinical Cardiac Electrophysiology · taxonomy 207RC0001X
- **Organization subpart:** No
- **Authorized official:** Sujata Balulad, PHYSICIAN
## Practice location
- **Address:** 33041 PROFESSIONAL DR STE 101, Leesburg, FL 34788-3761
- **Phone:** (352) 478-0010 · **Fax:** (949) 577-4163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiac Electrophysiology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154897130) · Data from the CMS NPPES public registry.