DR. LATHA BALAMUNISWAMY MD
NPI 1336113992
Family Medicine in Moline, IL
About Dr. Latha Balamuniswamy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LATHA BALAMUNISWAMY MD (NPI 1336113992) is an individual family medicine provider in Moline, Illinois, licensed in Illinois (036087173) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
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
Dr. Latha Balamuniswamy 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.
Medicare Billing Reassignment
Medicare enrollment records show Latha Balamuniswamy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Muscatine, IA 52761
- Reassigned Medicare billing, Iowa and Illinois enrollments
- Also billed through NPI 1366425274 (Illinois)
- 1,506 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Rock Island
Acute Care Hospitals · Rock Island, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOLINE, IL 61265
MOLINE, IL 61265
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 Latha Balamuniswamy's NPI number?
The NPI number for Latha Balamuniswamy is 1336113992. It was assigned to this individual provider in the NPPES registry on February 13, 2006.
Where is Latha Balamuniswamy located?
Latha Balamuniswamy practices at 106 19th Ave Suite 103, Moline, IL 61265. The listed phone number is (309) 779-7050.
What is Latha Balamuniswamy's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Latha Balamuniswamy enrolled in Medicare?
Yes. Latha Balamuniswamy 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 Latha Balamuniswamy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latha Balamuniswamy reassigns Medicare benefits to Iowa Physicians Clinic Medical Foundation (Muscatine, IA). 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 Latha Balamuniswamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latha Balamuniswamy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Latha Balamuniswamy 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 Latha Balamuniswamy affiliated with any hospitals?
According to CMS data, Latha Balamuniswamy is affiliated with Trinity Rock Island.
When was this NPI record last updated?
The NPPES record for Latha Balamuniswamy was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Latha Balamuniswamy, MD · NPI 1336113992
Family Medicine physician in Moline, Illinois. Individual provider, active in the CMS NPPES registry since February 13, 2006.
## Identity
- **NPI:** 1336113992 (Entity type: Individual)
- **Enumerated:** February 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036087173 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 106 19TH AVE, SUITE 103, Moline, IL 61265-3700
- **Phone:** (309) 779-7050 · **Fax:** (309) 764-6269
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iowa Physicians Clinic Medical Foundation (NPI 1982831426, Muscatine, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** February 5, 2015
- **Other identifiers:** Medicare PIN 719260583 (IA); Medicaid 0575423 (IA); Medicaid 1336113992 (IA); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336113992) · Data from the CMS NPPES public registry.