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SUBRAMANIAM BALACHANDRAN M.D.
NPI 1225034010
Surgery in Atlanta, TX

Active since June 26, 2005PECOS EnrolledAccepts Medicare Assignment
1007 S WILLIAM ST, ATLANTA, TX 75551(903) 799-3326 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Subramaniam Balachandran M.d. NPPES

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

SUBRAMANIAM BALACHANDRAN M.D. (NPI 1225034010) is an individual surgery provider in Atlanta, Texas, licensed in Texas (G0656) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Medical Center At Trophy Club, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1225034010
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSUBRAMANIAM BALACHANDRANCredential: M.D.
Location Address1007 S WILLIAM STAtlanta, TX 75551-3245
Mailing AddressPo Box 797Lancaster, TX 75146-0797 · (254) 694-5092 · Fax (254) 694-7039
Phone(903) 799-3326
Sole ProprietorYes
Medical School CMSOtherGraduated 1967
Enumeration DateJune 26, 2005
Last NPPES UpdateMay 21, 2010
✔ NPI 1225034010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · G0656
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1007 S WILLIAM ST, Atlanta, TX 75551
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Other Identifiers 6

Medicaid142587001AR
Medicare UPINC13099
Medicaid1675661LA
Medicare PIN0015ARTX
Other15ARTX · Blue Cross/blue Shield
Medicaid1365207-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Subramaniam Balachandran M.d. 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 ID5193874790
PECOS Enrollment IDI20090529000494
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Subramaniam Balachandran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ipa ER Group PLLC
175 mi
Emergency Medicine
2850 E HIGHWAY 114
Trophy Club, TX 76262
  • Reassigned Medicare billing, Texas enrollment
  • 50 clinicians in this Medicare group
NPI 1588488571 (214) 696-8033
Concord Medical Group Of Texas PLLC
447 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Baylor Medical Center At Trophy Club

Acute Care Hospitals · Trophy Club, TX
OwnershipProprietary
CMS Certification Number450883
Location2850 E State Highway 114Trophy Club, TX 76262 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75551 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 16

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

MR. TERRY DEAN BOATMAN CRNA
Nurse Anesthetist, Certified Registered
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
ATLANTA HOSPITAL AUTHORITY
General Acute Care Hospital (Rural)
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
ATLANTA HOSPITAL AUTHORITY
Medicare Defined Swing Bed Unit
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
ATLANTA HOSPITAL AUTHORITY
Emergency Medicine (Emergency Medical Services)
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
NORTHEAST TEXAS EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
MOHAMED HELAL MD
Internal Medicine
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
ATLANTA HOSPITAL AUTHORITY
Home Health
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000
ATLANTA HOSPITAL AUTHORITY
Psychiatric Unit
1007 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 799-3000

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 Subramaniam Balachandran's NPI number?

The NPI number for Subramaniam Balachandran is 1225034010. It was assigned to this individual provider in the NPPES registry on June 26, 2005.

Where is Subramaniam Balachandran located?

Subramaniam Balachandran practices at 1007 S William St, Atlanta, TX 75551. The listed phone number is (903) 799-3326.

What is Subramaniam Balachandran's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Subramaniam Balachandran enrolled in Medicare?

Yes. Subramaniam Balachandran 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.

Which organizations bill Medicare for Subramaniam Balachandran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Subramaniam Balachandran reassigns Medicare benefits to 2 organizations: Ipa ER Group PLLC (Trophy Club, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). Each 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 Subramaniam Balachandran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Subramaniam Balachandran accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Subramaniam Balachandran 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.

Is Subramaniam Balachandran affiliated with any hospitals?

According to CMS data, Subramaniam Balachandran is affiliated with Baylor Medical Center At Trophy Club.

When was this NPI record last updated?

The NPPES record for Subramaniam Balachandran was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.