DR. BALAVITTAL VARANASI M.D.
NPI 1366419210
Family Medicine in Centralia, IL
About Dr. Balavittal Varanasi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BALAVITTAL VARANASI M.D. (NPI 1366419210) is an individual family medicine provider in Centralia, Illinois, licensed in Illinois (036-085451) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Balavittal Varanasi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Balavittal Varanasi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63119
- Reassigned Medicare billing, Missouri enrollment
- 111 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Balavittal Varanasi's NPI number?
The NPI number for Balavittal Varanasi is 1366419210. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as B.Vittal Varanasi M.D..
Where is Balavittal Varanasi located?
Balavittal Varanasi practices at 936 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 532-6439.
What is Balavittal Varanasi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Balavittal Varanasi enrolled in Medicare?
Yes. Balavittal Varanasi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Balavittal Varanasi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Balavittal Varanasi reassigns Medicare benefits to Total Access Urgent Care, PC (Saint Louis, MO). 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 Balavittal Varanasi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Balavittal Varanasi was last updated on January 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.