KARISHMA INDERKUMAR BALANI M.D.
NPI 1376830646
Hospitalist in Springfield, MO
About Karishma Inderkumar Balani M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARISHMA INDERKUMAR BALANI M.D. (NPI 1376830646) is an individual hospitalist provider in Springfield, Missouri, licensed in Missouri (2014018843) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Karishma Inderkumar Balani 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.
Medicare Billing Reassignment
Medicare enrollment records show Karishma Balani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Blue Springs, MO 64014
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 845 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 6
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Luke's South Hospital
Acute Care Hospitals · Overland Park, KSSt Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Karishma Balani's NPI number?
The NPI number for Karishma Balani is 1376830646. It was assigned to this individual provider in the NPPES registry on July 6, 2011.
Where is Karishma Balani located?
Karishma Balani practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2600.
What is Karishma Balani's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Karishma Balani enrolled in Medicare?
Yes. Karishma Balani 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 Karishma Balani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karishma Balani reassigns Medicare benefits to Saint Luke's Physician Group Inc (Blue Springs, 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 Karishma Balani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karishma Balani accept?
Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Karishma Balani 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 Karishma Balani affiliated with any hospitals?
According to CMS data, Karishma Balani is affiliated with Saint Luke's South Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for Karishma Balani was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Karishma Inderkumar Balani, M.D. · NPI 1376830646
Hospitalist physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since July 6, 2011.
## Identity
- **NPI:** 1376830646 (Entity type: Individual)
- **Enumerated:** July 6, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2014018843 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1235 E CHEROKEE ST, Springfield, MO 65804-2203
- **Phone:** (417) 820-2600
## 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:** Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 13, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1376830646) · Data from the CMS NPPES public registry.