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DR. PADMAPRIYA BALAKRISHNA M.D.
NPI 1295709251
Internal Medicine in Prospect, KY

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
9517 US HIGHWAY 42 STE 410, PROSPECT, KY 40059(502) 587-0521(502) 587-3887 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Padmapriya Balakrishna M.d. NPPES

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

DR. PADMAPRIYA BALAKRISHNA M.D. (NPI 1295709251) is an individual internal medicine provider in Prospect, Kentucky, licensed in Kentucky (37367) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (2000).

NPPES Registry Identity

NPI1295709251
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PADMAPRIYA BALAKRISHNACredential: M.D.
Location Address9517 US HIGHWAY 42 STE 410Prospect, KY 40059-9237
Mailing Address9517 Us Highway 42Prospect, KY 40059-9237 · (502) 587-0521 · Fax (502) 587-3887
Phone(502) 587-0521
Fax(502) 587-3887
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2000
Enumeration DateFebruary 15, 2006
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1295709251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 37367
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.
9517 US HIGHWAY 42 STE 410, Prospect, KY 40059
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Other Identifiers 2

Medicaid64060429KY
Other1295709251KY · Npi

Accepted Insurance

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

Dr. Padmapriya Balakrishna 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 ID143317578
PECOS Enrollment IDI20100720000143
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
113 services65 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services44 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
44 services28 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
41 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
39 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40059 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

DR. HARRY L RENCO MD
Internal Medicine
9517 US HIGHWAY 42 STE 410
PROSPECT, KY 40059
Jefferson County (502) 587-0521
DR. SALVATORE A CILIBERTI M.D.
Internal Medicine
9517 US HIGHWAY 42 STE 410
PROSPECT, KY 40059
Jefferson County (502) 587-0521
DR. JENNIFER LYNN WALDEN-FAIN M.D.
Internal Medicine
9517 US HIGHWAY 42 STE 410
PROSPECT, KY 40059
Jefferson County (502) 587-0521

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 Padmapriya Balakrishna's NPI number?

The NPI number for Padmapriya Balakrishna is 1295709251. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Padmapriya Balakrishna located?

Padmapriya Balakrishna practices at 9517 Us Highway 42 Ste 410, Prospect, KY 40059. The listed phone number is (502) 587-0521.

What is Padmapriya Balakrishna's specialty?

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

Is Padmapriya Balakrishna enrolled in Medicare?

Yes. Padmapriya Balakrishna 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 Padmapriya Balakrishna accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Padmapriya Balakrishna 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 Padmapriya Balakrishna affiliated with any hospitals?

According to CMS data, Padmapriya Balakrishna is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Padmapriya Balakrishna was last updated on December 2, 2021. 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.