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SANISHA BALSARA
NPI 1245804285
Family Medicine in New York, NY

Active since May 14, 2021PECOS Enrolled
638 COLUMBUS AVE, NEW YORK, NY 10024(212) 523-8672 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Mar 8, 2023, May 14, 2021 (3 updates tracked since 2021).

About Sanisha Balsara NPPES

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

SANISHA BALSARA (NPI 1245804285) is an individual family medicine provider in New York, New York, licensed in New York (339165) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1245804285
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANISHA BALSARA
Location Address638 COLUMBUS AVENew York, NY 10024-1406
Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504
Phone(212) 523-8672
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022
Enumeration DateMay 14, 2021
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1245804285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 339165
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.
638 COLUMBUS AVE, New York, NY 10024
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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)

Sanisha Balsara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103205141
PECOS Enrollment IDI20260610002801
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 Reassignment

Medicare enrollment records show Sanisha Balsara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
0.9 mi
Infectious Disease
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 769 clinicians in this Medicare group
NPI 1659639524 (212) 987-3100

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 10024 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 9

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Emergency Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 731-7693
FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Emergency Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 731-7895
INES VARELA KNORR
Internal Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 523-8672
DR. LOUIS V. CICATELLI D.O.
Family Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 544-1860
DR. JAMES H MARCUS M.D.
Internal Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 523-8672
YURI KAYLEE CHOI MD
Internal Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 523-8672
CHRISTY CHON MD
Internal Medicine
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 523-8672
KYRIANNA SPILIOS NP
Nurse Practitioner (Family)
638 COLUMBUS AVE
NEW YORK, NY 10024
New York County (212) 828-3250

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 Sanisha Balsara's NPI number?

The NPI number for Sanisha Balsara is 1245804285. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Sanisha Balsara located?

Sanisha Balsara practices at 638 Columbus Ave, New York, NY 10024. The listed phone number is (212) 523-8672.

What is Sanisha Balsara's specialty?

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

Is Sanisha Balsara enrolled in Medicare?

Yes. Sanisha Balsara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sanisha Balsara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanisha Balsara reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The 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 Sanisha Balsara'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 Sanisha Balsara was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.