KEVIN VALLABH BALAR M.D.
NPI 1255776803
Hospitalist in Fullerton, CA

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
101 E VALENCIA MESA DR, FULLERTON, CA 92835(714) 871-3280 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

About Kevin Vallabh Balar M.d. NPPES

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

KEVIN VALLABH BALAR M.D. (NPI 1255776803) is an individual hospitalist provider in Fullerton, California, licensed in California (A132123) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2013).

NPPES Registry Identity

NPI1255776803
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKEVIN VALLABH BALARCredential: M.D.
Location Address101 E VALENCIA MESA DRFullerton, CA 92835-3809
Mailing Address23632 VeronaLaguna Hills, CA 92653-1931 · (949) 637-3593
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2013
Enumeration DateMay 8, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1255776803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A132123
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.
101 E VALENCIA MESA DR, Fullerton, CA 92835

Other Names 1

Other Name (5)N/a N/a N/a Md

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

Kevin Vallabh Balar M.d. 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 ID9830497981
PECOS Enrollment IDI20160406001044
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 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.
647 services210 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.
88 services87 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.
82 services81 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.
19 services17 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims16 services$10.52 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.

Internal Medicine
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Neurological Surgery
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Pharmacist (Pharmacotherapy)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Respiratory Therapist, Registered (Neonatal/Pediatrics)
101 E VALENCIA MESA DR
FULLERTON, CA 92835

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 Kevin Balar's NPI number?

The NPI number for Kevin Balar is 1255776803. It was assigned to this individual provider in the NPPES registry on May 8, 2013. The provider is also known as N/A N/A N/A MD.

Where is Kevin Balar located?

Kevin Balar practices at 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (714) 871-3280.

What is Kevin Balar's specialty?

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

Is Kevin Balar enrolled in Medicare?

Yes. Kevin Balar 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.

When was this NPI record last updated?

The NPPES record for Kevin Balar was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.