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MEGANA BALLAL
NPI 1174900021
Hospitalist in Los Angeles, CA

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
200 MED PLAZA, 365,420,120, LOS ANGELES, CA 90024(310) 267-9643 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2018, Jun 29, 2018, Jun 22, 2018 (3 updates tracked since 2018).

About Megana Ballal NPPES

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

MEGANA BALLAL (NPI 1174900021) is an individual hospitalist provider in Los Angeles, California, licensed in California (A145786) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2015).

NPPES Registry Identity

NPI1174900021
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMEGANA BALLAL
Location Address200 MED PLAZA, 365,420,120Los Angeles, CA 90024-0001
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8713 · Fax (310) 301-8751
Phone(310) 267-9643
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateJuly 20, 20183 updates tracked since enumeration
✔ NPI 1174900021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A145786
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MED PLAZA, Los Angeles, CA 90024
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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

Megana Ballal 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 ID6406101682
PECOS Enrollment IDI20180611002575
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
293 services129 patients
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.
202 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GHASSAN HANI NICOLA KHOURY M.D.
Internal Medicine
200 MED PLAZA, SUITE 365, 420, 120
LOS ANGELES, CA 90024
Los Angeles County (310) 794-1276
WANXING CHAI-HO M.D.
Internal Medicine (Hematology & Oncology)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 794-4955
JEONG-HEE KU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 855-7002
DR. NICHOLAS MCANDREW M.D.
Internal Medicine (Hematology & Oncology)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 205-0771
IGOR KAGAN MD
Internal Medicine (Nephrology)
200 MED PLAZA, 365,420,120
LOS ANGLES, CA 90024
Los Angeles County (805) 418-3500
MOLLY OSWALD NP
Nurse Practitioner
200 MED PLAZA, 365,420,120
LOS ANGLES, CA 90024
Los Angeles County (310) 206-6909
NIRAJ BUTALA
Dermatology
200 MED PLAZA, #365, 420, 120
LOS ANGELES, CA 90024
Los Angeles County (310) 794-1276
EMILY JEAN MARTIN M.D.
Internal Medicine (Hospice and Palliative Medicine)
200 MED PLAZA, #365, 420, 120
LOS ANGELES, CA 90024
Los Angeles County (310) 319-4698

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 Megana Ballal's NPI number?

The NPI number for Megana Ballal is 1174900021. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Megana Ballal located?

Megana Ballal practices at 200 Med Plaza 365,420,120, Los Angeles, CA 90024. The listed phone number is (310) 267-9643.

What is Megana Ballal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Megana Ballal enrolled in Medicare?

Yes. Megana Ballal 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.

When was this NPI record last updated?

The NPPES record for Megana Ballal was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.