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DR. NALINI BALACHANDRAN M.D.
NPI 1326047283
Family Medicine in Sugar Land, TX

Active since July 21, 2005PECOS Enrolled
138 ELDRIDGE RD, SUITE A, SUGAR LAND, TX 77478(281) 277-9800(281) 277-9822 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nalini Balachandran M.d. NPPES

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

DR. NALINI BALACHANDRAN M.D. (NPI 1326047283) is an individual family medicine provider in Sugar Land, Texas, licensed in Texas (K1351) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326047283
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NALINI BALACHANDRANCredential: M.D.
Location Address138 ELDRIDGE RD, SUITE ASugar Land, TX 77478-4083
Mailing Address138 Eldridge Rd, Suite ASugar Land, TX 77478-4083 · (281) 277-9800 · Fax (281) 277-9822
Phone(281) 277-9800
Fax(281) 277-9822
Sole ProprietorYes
Enumeration DateJuly 21, 2005
Last NPPES UpdateJuly 20, 2011
✔ NPI 1326047283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K1351
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
138 ELDRIDGE RD, Sugar Land, TX 77478
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Other Identifiers 3

Medicare PIN8F2635TX
Medicare UPINY51738TX
Other203075871TX · Tin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%23 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%21 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KENNETH ESE OTAH SR. MD MSC FACC
Internal Medicine (Interventional Cardiology)
138 ELDRIDGE RD, SUITE E
SUGAR LAND, TX 77478
Fort Bend County (281) 232-3886
TOTAL HEART CARDIOVASCULAR CONSULTANTS LLC
Internal Medicine (Cardiovascular Disease)
138 ELDRIDGE RD, SUITE E
SUGAR LAND, TX 77478
Fort Bend County (281) 232-3886
GLOVER O.L. JOHNSON JR. M.D.
Internal Medicine (Cardiovascular Disease)
138 ELDRIDGE RD, STE E
SUGAR LAND, TX 77478
Fort Bend County (713) 234-7390
CENTER FOR GENERAL & LAPAROSCOPIC SURGERY PA
Surgery
138 ELDRIDGE RD, SUITE E
SUGAR LAND, TX 77478
Fort Bend County (281) 232-3886
NON-INVASIVE CARDIOVASCULAR PA
Internal Medicine (Cardiovascular Disease)
138 ELDRIDGE RD, STE E
SUGAR LAND, TX 77478
Fort Bend County (713) 234-7390
DR. ESEROGHENE OTAH MD
Surgery
138 ELDRIDGE RD, SUITE E
SUGAR LAND, TX 77478
Fort Bend County (281) 232-3886
NALINI BALACHANDRAN,M.D, P.A
Family Medicine
138 ELDRIDGE RD, SUITE A
SUGAR LAND, TX 77478
Fort Bend County (281) 277-9800

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 Nalini Balachandran's NPI number?

The NPI number for Nalini Balachandran is 1326047283. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Nalini Balachandran located?

Nalini Balachandran practices at 138 Eldridge Rd Suite A, Sugar Land, TX 77478. The listed phone number is (281) 277-9800.

What is Nalini Balachandran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nalini Balachandran enrolled in Medicare?

Yes. Nalini Balachandran is registered in the Medicare PECOS enrollment system.

What insurance does Nalini Balachandran accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Nalini Balachandran 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 Nalini Balachandran was last updated on July 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.