DR. AKILA BALASUBRAMANIAN MD
NPI 1245250174
Family Medicine in Casselberry, FL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
985 STATE ROAD 436, CASSELBERRY, FL 32707(407) 831-5252(407) 831-3765 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Akila Balasubramanian Md NPPES

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

DR. AKILA BALASUBRAMANIAN MD (NPI 1245250174) is an individual family medicine provider in Casselberry, Florida, licensed in Florida (ME94679) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1245250174
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AKILA BALASUBRAMANIANCredential: MD
Location Address985 STATE ROAD 436Casselberry, FL 32707-5664
Mailing Address985 State Road 436Casselberry, FL 32707-5664 · (407) 831-5252 · Fax (407) 831-3765
Fax(407) 831-3765
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1245250174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME94679
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
985 STATE ROAD 436, Casselberry, FL 32707

Other Identifiers 1

Medicaid280689401FL

Accepted Insurance

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

Dr. Akila Balasubramanian 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 ID2668479767
PECOS Enrollment IDI20061102000548
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 41

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.

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.
495 services201 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
279 services78 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
239 services145 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
223 services112 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
147 services147 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
145 services145 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32707 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims70 services$5.56 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims656 services$7.11 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims194 services$9.36 avg. paid by Medicare
Walker, with trunk support, adjustable or fixed height, any type E0140
DME-Other DME · category DE000N
1 supplier43 claims43 services$17.76 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$41.34 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$42.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Gerontology)
985 STATE ROAD 436
CASSELBERRY, FL 32707
Nurse Practitioner (Family)
985 STATE ROAD 436
CASSELBERRY, FL 32707
Internal Medicine
985 STATE ROAD 436
CASSELBERRY, FL 32707
Family Medicine
985 STATE ROAD 436
CASSELBERRY, FL 32707
Internal Medicine
985 STATE ROAD 436
CASSELBERRY, FL 32707
Nurse Practitioner (Family)
985 STATE ROAD 436
CASSELBERRY, FL 32707
Nurse Practitioner (Family)
985 STATE ROAD 436
CASSELBERRY, FL 32707
Nurse Practitioner (Adult Health)
985 STATE ROAD 436
CASSELBERRY, FL 32707

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 Akila Balasubramanian's NPI number?

The NPI number for Akila Balasubramanian is 1245250174. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Akila Balasubramanian located?

Akila Balasubramanian practices at 985 State Road 436, Casselberry, FL 32707. The listed phone number is (407) 831-5252.

What is Akila Balasubramanian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Akila Balasubramanian enrolled in Medicare?

Yes. Akila Balasubramanian 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.

What insurance does Akila Balasubramanian accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Akila Balasubramanian 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 Akila Balasubramanian affiliated with any hospitals?

According to CMS data, Akila Balasubramanian is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Akila Balasubramanian was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.