SANDHYA K BALARAM
NPI 1215926837
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Brooklyn, NY

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment
506 6TH ST, BROOKLYN, NY 11215(718) 780-7700 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2024, Apr 21, 2024, Oct 8, 2022 (3 updates tracked since 2022).

About Sandhya K Balaram NPPES

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

SANDHYA K BALARAM (NPI 1215926837) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Brooklyn, New York, licensed in New York (229489) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1993).

NPPES Registry Identity

NPI1215926837
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameSANDHYA K BALARAM
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address263 7th Ave Ste 4hBrooklyn, NY 11215-7247 · (718) 780-7700
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1993
Enumeration DateOctober 17, 2005
Last NPPES UpdateJuly 4, 20243 updates tracked since enumeration
NPPES CertifiedJuly 4, 2024
NPI 1215926837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in NY · 229489
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

506 6TH ST, Brooklyn, NY 11215

Other Identifiers 1

Medicaid02602266NY

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

Sandhya K Balaram 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 ID4486618220
PECOS Enrollment IDI20041112000181
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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11215 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

Surgery
506 6TH ST
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215

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 Sandhya Balaram's NPI number?

The NPI number for Sandhya Balaram is 1215926837. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Sandhya Balaram located?

Sandhya Balaram practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-7700.

What is Sandhya Balaram's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Sandhya Balaram enrolled in Medicare?

Yes. Sandhya Balaram 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.

Is Sandhya Balaram affiliated with any hospitals?

According to CMS data, Sandhya Balaram is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Balaram was last updated on July 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.