BALAGANESH GOPURALA MD
NPI 1316967854
Internal Medicine - Hematology & Oncology in Downey, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
11480 BROOKSHIRE AVE STE 309, DOWNEY, CA 90241(562) 869-1201(562) 869-1281 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Balaganesh Gopurala Md NPPES

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

BALAGANESH GOPURALA MD (NPI 1316967854) is an individual hematology & oncology provider in Downey, California, licensed in California (C139871) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alabaster, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1316967854
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBALAGANESH GOPURALACredential: MD
Location Address11480 BROOKSHIRE AVE STE 309Downey, CA 90241-5025
Mailing Address11480 Brookshire Ave Ste 309Downey, CA 90241-5025 · (562) 869-1201 · Fax (562) 869-1281
Fax(562) 869-1281
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1316967854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in CA · C139871✔ Licensed in AL · 00024965
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.
11480 BROOKSHIRE AVE STE 309, Downey, CA 90241

Secondary Practice Location 1

Location 1644 2nd St NE Ste 202Alabaster, AL 35007-8823 · Phone (205) 358-3321 · Fax (205) 358-3322

Other Identifiers 9

Other51534631AL · Blue Cross Blue Shield
Other51003582AL · Blue Cross Blue Shield
OtherH78600AL · Healthspring Of Alabama
Other51534632AL · Blue Cross Blue Shield
OtherP00314189AL · Railroad Medicare
Medicaid009936594AL
Medicaid009936596AL
Medicaid009936597AL
OtherH78600AL · United Healthcare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Balaganesh Gopurala Md 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 ID6507876059
PECOS Enrollment IDI20171115004026
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.

Medicare Billing Reassignment

Medicare enrollment records show Balaganesh Gopurala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hematology & Oncology
11525 BROOKSHIRE AVE STE 202
Downey, CA 90241
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: The Oncology Institute Ca, A Professional Corporation
  • 110 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
77 services47 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.
56 services37 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241
Nurse Practitioner (Acute Care)
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 90241

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 Balaganesh Gopurala's NPI number?

The NPI number for Balaganesh Gopurala is 1316967854. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Balaganesh Gopurala located?

Balaganesh Gopurala practices at 11480 Brookshire Ave Ste 309, Downey, CA 90241. The listed phone number is (562) 869-1201.

What is Balaganesh Gopurala's specialty?

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

Is Balaganesh Gopurala enrolled in Medicare?

Yes. Balaganesh Gopurala 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.

Which organization bills Medicare for Balaganesh Gopurala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Balaganesh Gopurala reassigns Medicare benefits to Starling Oncology Ca, A Professional Corporation (Downey, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Balaganesh Gopurala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Balaganesh Gopurala accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Balaganesh Gopurala 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.

When was this NPI record last updated?

The NPPES record for Balaganesh Gopurala was last updated on March 17, 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.