SOWMYA SAMEERA BALUSU MD
NPI 1174106132
Internal Medicine in Portland, OR

Q: What is Sowmya Balusu's NPI number?

The NPI number for Sowmya Balusu is 1174106132. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Q: What is Sowmya Balusu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sowmya Balusu was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment

9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-2906 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 15, 2026, Aug 20, 2024, Apr 28, 2021 (3 updates tracked since 2021).

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About Sowmya Sameera Balusu Md NPPES

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

SOWMYA SAMEERA BALUSU MD (NPI 1174106132) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD226263) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Brooklyn Hospital Center - Downtown Campus, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174106132

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSOWMYA SAMEERA BALUSUCredential: MD

Location Address9205 SW BARNES RDPortland, OR 97225-6603

Mailing Address9205 Sw Barnes RdPortland, OR 97225-6603

Phone(503) 216-2906

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 28, 2021

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1174106132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in OR · MD226263✔ Licensed in NY · 332355

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.

9205 SW BARNES RD, Portland, OR 97225

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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

Sowmya Sameera Balusu 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 ID1254733900

PECOS Enrollment IDI20241003000676

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

43 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Brooklyn Hospital Center - Downtown Campus

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330056

Location121 Dekalb AvenueBrooklyn, NY 11201 · Kings County

Emergency services Birthing friendly

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

DR. VICTOR NGUYEN PHAM M.D.

Hospitalist