DR. SURESH BALENALLI M.D.
NPI 1336181437
Internal Medicine in Casa Grande, AZ

Q: What is Suresh Balenalli's NPI number?

The NPI number for Suresh Balenalli is 1336181437. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Suresh Balenalli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Suresh Balenalli was last updated on December 19, 2014. 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

88.46/100

CMS Quality Rating

1968 N PEART RD, SUITE 1, CASA GRANDE, AZ 85122(520) 836-6636 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Suresh Balenalli M.d. NPPES

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

DR. SURESH BALENALLI M.D. (NPI 1336181437) is an individual internal medicine provider in Casa Grande, Arizona, licensed in Arizona (28920) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1336181437

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SURESH BALENALLICredential: M.D.

Location Address1968 N PEART RD, SUITE 1Casa Grande, AZ 85122-2495

Mailing AddressPo Box 13308Chandler, AZ 85248-0039 · (520) 836-6636

Phone(520) 836-6636

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 12, 2006

Last NPPES UpdateDecember 19, 2014

✔ NPI 1336181437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 28920

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.

1968 N PEART RD, Casa Grande, AZ 85122

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Other Identifiers 3

Medicare ID-Type UnspecifiedZ100694AZ

Medicaid543365AZ

Medicare UPINH48499AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Dr. Suresh Balenalli 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.

PECOS PAC ID941252159

PECOS Enrollment IDI20050216000378

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 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.

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.

1,768 services523 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.

1,201 services599 patients

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.

121 services33 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

98 services98 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

69 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

88.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

84.47

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

100%60 patients

Advance Care Plan

76%1,662 patients4/55-star benchmark: 100%

Controlling High Blood Pressure

60%1,289 patients3/55-star benchmark: 98%

e-Prescribing

99%4,561 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

87%1,380 patients4/55-star benchmark: 100%

Rheumatoid Arthritis (RA): Functional Status Assessment

97%34 patients4/55-star benchmark: 100%

Rheumatoid Arthritis (RA): Glucocorticoid Management

100%34 patients5/55-star benchmark: 100%

Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity

100%34 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.

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers106 claims255 services$5.97 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers24 claims27 services$1.05 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers17 claims17 services$36.15 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers18 claims18 services$81.16 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers19 claims50 services$31.19 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers12 claims62 services$16.70 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers15 claims86 services$11.72 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers25 claims25 services$43.70 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers24 claims24 services$15.76 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers26 claims26 services$10.10 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers41 claims240 services$1.81 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers19 claims19 services$10.96 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers110 claims3,321 services$4.29 avg. paid by Medicare

Gastrostomy/jejunostomy tube, standard, any material, any type, each B4087

Other-Enteral and Parenteral · category OB006N

2 suppliers18 claims18 services$26.74 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers27 claims9,829 services$0.29 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers55 claims23,514 services$0.28 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers26 claims10,441 services$0.53 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

3 suppliers31 claims31 services$51.18 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$14.01 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers12 claims12 services$5.70 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers29 claims29 services$27.84 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers49 claims49 services$4.29 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier52 claims52 services$13.36 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier60 claims68 services$12.33 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier52 claims52 services$179.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers89 claims89 services$66.16 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers62 claims62 services$33.01 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims420 services$0.10 avg. paid by Medicare

High strength, lightweight wheelchair K0004

DME-Wheelchairs · category DD000N

1 supplier47 claims47 services$32.14 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers69 claims71 services$187.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers21 claims21 services$26.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

SURESH BALENALLI, PLLC

Clinic/Center (Primary Care)

1968 N PEART RD, SUITE 1
CASA GRANDE, AZ 85122

Pinal County (520) 836-6636

ENTICARE PC

Otolaryngology (Plastic Surgery within the Head & Neck)

1968 N PEART RD
CASA GRANDE, AZ 85122

Pinal County (480) 214-9000

PONGRATZ ORTHOTICS & PROSTHETICS, INC

Prosthetic/Orthotic Supplier

1968 N PEART RD, BLDG A SUITE 3
CASA GRANDE, AZ 85122

Pinal County (520) 340-7050

DESERT CARE FAMILY CLINIC PLLC

Clinic/Center (Primary Care)

1968 N PEART RD, SUITE 3
CASA GRANDE, AZ 85122

Pinal County (520) 518-5889

CEDARS HEART CLINIC, LLC

Internal Medicine (Interventional Cardiology)

1968 N PEART RD, BUILDING B, SUITE 4
CASA GRANDE, AZ 85122

Pinal County (520) 836-6661

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 Suresh Balenalli's NPI number?

The NPI number for Suresh Balenalli is 1336181437. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Suresh Balenalli located?

Suresh Balenalli practices at 1968 N Peart Rd Suite 1, Casa Grande, AZ 85122. The listed phone number is (520) 836-6636.

What is Suresh Balenalli's specialty?

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

Is Suresh Balenalli enrolled in Medicare?

Yes. Suresh Balenalli 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 Suresh Balenalli accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Suresh Balenalli 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 Suresh Balenalli was last updated on December 19, 2014. 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.