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DR. SIMRUN BAL
NPI 1245790393
Internal Medicine in Burlington, VT

Active since March 24, 2019PECOS Enrolled
69.4/100
CMS Quality Rating
128 LAKESIDE AVE STE 260, BURLINGTON, VT 05401(802) 657-7000 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2024, Apr 15, 2022, Mar 24, 2019 (3 updates tracked since 2019).

About Dr. Simrun Bal NPPES

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

DR. SIMRUN BAL (NPI 1245790393) is an individual internal medicine provider in Burlington, Vermont, licensed in Vermont (042.0015777) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245790393
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SIMRUN BAL
Location Address128 LAKESIDE AVE STE 260Burlington, VT 05401-5911
Mailing Address128 Lakeside Ave Ste 260Burlington, VT 05401-5911
Phone(802) 657-7000
Sole ProprietorNo
Enumeration DateMarch 24, 2019
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1245790393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VT · 042.0015777✔ Licensed in NH · 22358
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
128 LAKESIDE AVE STE 260, Burlington, VT 05401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simrun Bal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Simrun Bal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dartmouth-Hitchcock Clinic
72 mi
Internal Medicine
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1548210198 (603) 650-5000
Mary Hitchcock Memorial Hospital
72 mi
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1023092053 (603) 650-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.64
Promoting Interoperability100
Improvement Activities40
Cost42.36

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.

HOLLY L MILLER LICSW
Social Worker (Clinical)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7090
MATTHEW IAN BOUCHARD LICSW
Social Worker (Clinical)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7087
LOURDES ALVAREZ-MORENO RN
Nurse Practitioner (Family)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
ANDREW KATZ AGNP
Nurse Practitioner
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
ALEXANDRA HORNBOGEN DNP-AGNP
Nurse Practitioner (Primary Care)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
JENEL CLEMENT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
MR. SHANNON HARNESS MSW
Social Worker (Clinical)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
KAMERON ESCAJEDA
Nurse Practitioner (Adult Health)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000

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 Simrun Bal's NPI number?

The NPI number for Simrun Bal is 1245790393. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Simrun Bal located?

Simrun Bal practices at 128 Lakeside Ave Ste 260, Burlington, VT 05401. The listed phone number is (802) 657-7000.

What is Simrun Bal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Simrun Bal enrolled in Medicare?

Yes. Simrun Bal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Simrun Bal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simrun Bal reassigns Medicare benefits to 2 organizations: Dartmouth-Hitchcock Clinic (Lebanon, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). 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 Simrun Bal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Simrun Bal was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.