BALKISHAN JAGADISHBHAI MALVIYA
NPI 1225652175
Hospitalist in Coal Township, PA

Q: What is Balkishan Malviya's NPI number?

The NPI number for Balkishan Malviya is 1225652175. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Balkishan Malviya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Balkishan Malviya was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866(570) 214-9585(570) 214-9519 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2021, Jul 31, 2020, Jun 5, 2020 (3 updates tracked since 2020).

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About Balkishan Jagadishbhai Malviya NPPES

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

BALKISHAN JAGADISHBHAI MALVIYA (NPI 1225652175) is an individual hospitalist provider in Coal Township, Pennsylvania, licensed in Pennsylvania (MD480403) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Geisinger-bloomsburg Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225652175

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameBALKISHAN JAGADISHBHAI MALVIYA

Location Address4200 HOSPITAL RDCoal Township, PA 17866-9668

Mailing Address1 Guthrie SqSayre, PA 18840-1625

Phone(570) 214-9585

Fax(570) 214-9519

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 5, 2020

Last NPPES UpdateSeptember 13, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2023

✔ NPI 1225652175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD480403

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.

4200 HOSPITAL RD, Coal Township, PA 17866

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Balkishan Jagadishbhai Malviya 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 ID9638593288

PECOS Enrollment IDI20230816001714

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

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

Geisinger Clinic

Same address

Pediatrics

4200 HOSPITAL RD
Coal Township, PA 17866

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1740585918 (570) 648-4010

Geisinger-Hm Joint Venture LLC

32 mi

Internal Medicine

255 ROUTE 220 HIGHWAY
Muncy, PA 17756

Reassigned Medicare billing, Pennsylvania enrollment
1,405 clinicians in this Medicare group

NPI 1952076119 (570) 308-2600

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 5

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.

212 services85 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.

105 services101 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.

69 services38 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.

59 services59 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.

29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390003

Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County

Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Geisinger Jersey Shore Hospital

Critical Access Hospitals · Jersey Shore, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391300

Location1020 Thompson StreetJersey Shore, PA 17740 · Lycoming County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17866 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

GEISINGER MEDICAL CENTER

General Acute Care Hospital