SUKHRAJ BALHAN MD
NPI 1194169292
Internal Medicine - Critical Care Medicine in Marysville, CA

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment
726 4TH ST, MARYSVILLE, CA 95901(530) 749-4300 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2019, Oct 19, 2018, Jan 11, 2016 (3 updates tracked since 2016).

About Sukhraj Balhan Md NPPES

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

SUKHRAJ BALHAN MD (NPI 1194169292) is an individual critical care medicine provider in Marysville, California, licensed in California (C156756) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194169292
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSUKHRAJ BALHANCredential: MD
Location Address726 4TH STMarysville, CA 95901-5656
Mailing AddressPo Box 3067Yuba City, CA 95992-3067 · (530) 751-4784 · Fax (530) 751-4906
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateApril 19, 2013
Last NPPES UpdateFebruary 8, 20193 updates tracked since enumeration
NPI 1194169292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in CA · C156756 Licensed in OR · MD162896
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD162896 (OR)
726 4TH ST, Marysville, CA 95901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Sukhraj Balhan 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 ID1658507447
PECOS Enrollment IDI20190409001278
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 14

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
325 services197 patients
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.
203 services132 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.
89 services87 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.
87 services87 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.
82 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95901 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Physical Therapist
726 4TH ST
MARYSVILLE, CA 95901
Emergency Medicine
726 4TH ST
MARYSVILLE, CA 95901
Nurse Anesthetist, Certified Registered
726 4TH ST
MARYSVILLE, CA 95901
Nurse Anesthetist, Certified Registered
726 4TH ST
MARYSVILLE, CA 95901
Speech-Language Pathologist
726 4TH ST
MARYSVILLE, CA 95901
Emergency Medicine
726 4TH ST
MARYSVILLE, CA 95901
Speech-Language Pathologist
726 4TH ST
MARYSVILLE, CA 95901
Registered Nurse (Registered Nurse First Assistant)
726 4TH ST
MARYSVILLE, CA 95901

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 Sukhraj Balhan's NPI number?

The NPI number for Sukhraj Balhan is 1194169292. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Sukhraj Balhan located?

Sukhraj Balhan practices at 726 4th St, Marysville, CA 95901. The listed phone number is (530) 749-4300.

What is Sukhraj Balhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sukhraj Balhan enrolled in Medicare?

Yes. Sukhraj Balhan 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 Sukhraj Balhan was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.