SUDARSHAN BALLA M.D.
NPI 1316100258
Internal Medicine - Cardiovascular Disease in Columbia, MO
About Sudarshan Balla M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUDARSHAN BALLA M.D. (NPI 1316100258) is an individual cardiovascular disease provider in Columbia, Missouri, licensed in West Virginia (27816) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Sudarshan Balla 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.
Areas of Expertise CMS Part B claims 20
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Garrett Regional Medical Center
Acute Care Hospitals · Oakland, MDUniontown Hospital
Acute Care Hospitals · Uniontown, PAWest Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVUnited Hospital Center, Inc
Acute Care Hospitals · Bridgeport, WVPrinceton Community Hospital
Acute Care Hospitals · Princeton, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Sudarshan Balla's NPI number?
The NPI number for Sudarshan Balla is 1316100258. It was assigned to this individual provider in the NPPES registry on July 9, 2008.
Where is Sudarshan Balla located?
Sudarshan Balla practices at 1 Hosptial Dr Dc095, Columbia, MO 65212. The listed phone number is (573) 884-2123.
What is Sudarshan Balla's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sudarshan Balla enrolled in Medicare?
Yes. Sudarshan Balla 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 Sudarshan Balla accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Sudarshan Balla 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 Sudarshan Balla affiliated with any hospitals?
According to CMS data, Sudarshan Balla is affiliated with Garrett Regional Medical Center, Uniontown Hospital, West Virginia University Hospitals, Inc, United Hospital Center, Inc and Princeton Community Hospital.
When was this NPI record last updated?
The NPPES record for Sudarshan Balla was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.