SANISHA BALSARA - NPI 1245804285 - Family Medicine in New York, NY

Q: 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.

Q: What is Sanisha Balsara's specialty?

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

Q: 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 3 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.

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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, and ordering and referring status from the CMS PECOS system.

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.

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 8

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