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DR. ASHWIN BALAGOPAL M.D.
NPI 1295872927
Internal Medicine in Baltimore, MD

Active since January 31, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
1717 E MONUMENT ST, BALTIMORE, MD 21287(410) 955-1725 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Jun 13, 2023, Oct 6, 2022 (3 updates tracked since 2022).

About Dr. Ashwin Balagopal M.d. NPPES

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

DR. ASHWIN BALAGOPAL M.D. (NPI 1295872927) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D69548) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1295872927
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHWIN BALAGOPALCredential: M.D.
Location Address1717 E MONUMENT STBaltimore, MD 21287-0027
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Phone(410) 955-1725
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2000
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1295872927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D69548
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License D69548 (MD), 35085045 (OH)
1717 E MONUMENT ST, Baltimore, MD 21287
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Secondary Practice Location 1

Location 11830 E Monument St, Room 457Baltimore, MD 21287-0020 · Phone (410) 502-2326

Other Identifiers 1

Medicaid417955200MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashwin Balagopal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294798211
PECOS Enrollment IDI20090827000259
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 3

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 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.
61 services30 patients
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.
43 services20 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.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 15

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

LAURA W CHEEVER M.D.
Internal Medicine
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
CHLOE THIO M.D.
Internal Medicine (Infectious Disease)
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
MEGAN L GUNNARSSON PMHNP
Psychiatry & Neurology (Psychiatry)
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
ALLISON LORNA AGWU M.D.
Internal Medicine
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
MOSKOS GEORGIOS TSAKIRIS PHARMD
Pharmacist
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-0055
DAVID SAMUEL BLOCK M.D.
Internal Medicine
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
DR. MATTHEW HAMILL MBCHB
Internal Medicine
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725
JUSTIN R BAILEY M.D.
Internal Medicine
1717 E MONUMENT ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1725

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 Ashwin Balagopal's NPI number?

The NPI number for Ashwin Balagopal is 1295872927. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Ashwin Balagopal located?

Ashwin Balagopal practices at 1717 E Monument St, Baltimore, MD 21287. The listed phone number is (410) 955-1725.

What is Ashwin Balagopal's specialty?

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

Is Ashwin Balagopal enrolled in Medicare?

Yes. Ashwin Balagopal is registered in the Medicare PECOS enrollment system.

Is Ashwin Balagopal affiliated with any hospitals?

According to CMS data, Ashwin Balagopal is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Ashwin Balagopal was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.