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SHYAM S BALEPUR M.D.
NPI 1265410062
Internal Medicine - Hematology & Oncology in Lancaster, PA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
2106 HARRISBURG PIKE, SUITE 116, LANCASTER, PA 17601(717) 544-3600(717) 544-3604 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shyam S Balepur M.d. NPPES

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

SHYAM S BALEPUR M.D. (NPI 1265410062) is an individual hematology & oncology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD070796L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1265410062
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSHYAM S BALEPURCredential: M.D.
Location Address2106 HARRISBURG PIKE, SUITE 116Lancaster, PA 17601-2644
Mailing Address2106 Harrisburg Pike, Suite 116Lancaster, PA 17601-2644 · (717) 544-3600 · Fax (717) 544-3604
Phone(717) 544-3600
Fax(717) 544-3604
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 3, 2006
Last NPPES UpdateDecember 2, 2009
✔ NPI 1265410062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD070796L
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2106 HARRISBURG PIKE, Lancaster, PA 17601
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Other Identifiers 10

Other02158602PA · Capital Blue Cross
Other2340762PA · Aetna Hmo
Medicaid0018060850001PA
Other1518638PA · Gateway Health Plan
Medicare PIN038668EZRPA
OtherH18220PA · Health Assurance
Other851733PA · Highmark Blue Shield
Other73619 4336PA · Geisinger Health Plan
Medicare UPINH18220PA
Other7402122PA · Aetna Non-hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Shyam S Balepur 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 ID1557404423
PECOS Enrollment IDI20100202000113
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 6

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.
127 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
91 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
13 services13 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims264 services$2.27 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.

DR. ROBERT D HONG M.D.
Urology
2106 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 393-1771
DR. CHRISTOPHER ARNOLD WOODARD M.D.
Urology
2106 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 393-1771
DAVID A SVETEC MD
Urology
2106 HARRISBURG PIKE, SUTE 200
LANCASTER, PA 17601
Lancaster County (717) 393-1771
GLORIA JEAN CISSNE CRNP
Nurse Practitioner (Pediatrics)
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Lancaster County (717) 291-5931
DR. JOSEPH M KONTRA M.D.
Internal Medicine (Infectious Disease)
2106 HARRISBURG PIKE, SUITE 301
LANCASTER, PA 17601
Lancaster County (717) 544-3517
JILL F HIGH M.D.
Pediatrics
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Lancaster County (717) 291-5931
MARY ELIZABETH DEPOE CRNP
Nurse Practitioner (Pediatrics)
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Lancaster County (717) 291-5931
WILLIAM R.A. BOBEN JR. M.D.
Pediatrics
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Lancaster County (717) 291-5931

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 Shyam Balepur's NPI number?

The NPI number for Shyam Balepur is 1265410062. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Shyam Balepur located?

Shyam Balepur practices at 2106 Harrisburg Pike Suite 116, Lancaster, PA 17601. The listed phone number is (717) 544-3600.

What is Shyam Balepur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shyam Balepur enrolled in Medicare?

Yes. Shyam Balepur 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 Shyam Balepur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shyam Balepur 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 Shyam Balepur affiliated with any hospitals?

According to CMS data, Shyam Balepur is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Shyam Balepur was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.