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SUJANA BALLA MBBS
NPI 1346877123
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Active since March 24, 2020PECOS Enrolled
HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Sujana Balla Mbbs NPPES

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

SUJANA BALLA MBBS (NPI 1346877123) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (13930758-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1346877123
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSUJANA BALLACredential: MBBS
Location AddressHELIX: 30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112
Mailing AddressHelix: 30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1346877123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in UT · 13930758-1205
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
HELIX: 30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 1155 N Fresno StFresno, CA 93701-2302

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sujana Balla Mbbs 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 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 20

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

DYLAN VAINER MD
Hospitalist
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
ELISE M. LE CAM MD
Internal Medicine (Gastroenterology)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
KATE ALTA DO
Internal Medicine (Cardiovascular Disease)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
SHANNON MARIE JENKINS M.D.
Internal Medicine (Sleep Medicine)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
KELLEN HIRSCH MD
Internal Medicine (Cardiovascular Disease)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
LUKE CONLON MB BCH
Internal Medicine (Nephrology)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DR. ROSS ERNEST HEINRICH DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
MATTHEW P. HUBER MD
Internal Medicine (Interventional Cardiology)
HELIX: 30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Sujana Balla's NPI number?

The NPI number for Sujana Balla is 1346877123. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Sujana Balla located?

Sujana Balla practices at Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Sujana Balla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sujana Balla enrolled in Medicare?

Yes. Sujana Balla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sujana Balla was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.