NIKHIL BALAKRISHNAN MD
NPI 1396993184
Psychiatry & Neurology - Neurology in Charlotte, NC

Q: What is Nikhil Balakrishnan's NPI number?

The NPI number for Nikhil Balakrishnan is 1396993184. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Nikhil Balakrishnan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment

89.63/100

CMS Quality Rating

101 E W T HARRIS BLVD, STE 5202, CHARLOTTE, NC 28262(704) 863-8700 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2023, Feb 28, 2023, Jan 26, 2023 and 46 more (49 updates tracked since 2018).

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About Nikhil Balakrishnan Md NPPES

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

NIKHIL BALAKRISHNAN MD (NPI 1396993184) is an individual neurology provider in Charlotte, North Carolina, licensed in North Carolina (2008-02056) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1396993184

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameNIKHIL BALAKRISHNANCredential: MD

Location Address101 E W T HARRIS BLVD, STE 5202Charlotte, NC 28262-3485

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 863-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateSeptember 4, 2008

Last NPPES UpdateMarch 9, 202349 updates tracked since enumeration

NPPES CertifiedOctober 3, 2022

✔ NPI 1396993184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NC · 2008-02056

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 2008-02056 (NC)

101 E W T HARRIS BLVD, Charlotte, NC 28262

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Secondary Practice Location 1

Location 1315 Medical Park Dr, Ste 202Concord, NC 28025-1902 · Phone (704) 403-1911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Nikhil Balakrishnan 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.

PECOS PAC ID3870627953

PECOS Enrollment IDI20100811000164

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.

Medicare Billing Reassignments

Medicare enrollment records show Nikhil Balakrishnan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority

Same address

Surgical Critical Care

101 E W T HARRIS BLVD, STE 5500A
Charlotte, NC 28262

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1225649718 (704) 863-1520

Duke Health Integrated Practice, Inc.

17 mi

Family Medicine

131 MEDICAL PARK RD STE 302
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1760288633 (704) 660-4750

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 11

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

134 services88 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.

87 services67 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

69 services69 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

61 services41 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.

48 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services28 patients

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.

24 services21 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

14 services14 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340015

Location612 Mocksville AveSalisbury, NC 28144 · Rowan County

Emergency services Birthing friendly

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340129

Location171 Fairview RoadMooresville, NC 28117 · Iredell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

89.63/100

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

Scored through an Alternative Payment Model

Quality

77.66

Promoting Interoperability

100

Improvement Activities

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.

SHIBIN THOMAS JACOB MD

Internal Medicine (Pulmonary Disease)

101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101
CHARLOTTE, NC 28262

Mecklenburg County (704) 863-5847

GEOFFREY ANDREW ROSE MD

Internal Medicine (Cardiovascular Disease)

101 E W T HARRIS BLVD, STE 1213
CHARLOTTE, NC 28262

Mecklenburg County (704) 863-1950

BRYAN C. ADAMS MD

Pediatrics

101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262

Mecklenburg County (704) 717-2000

AMANDA L. MCDOWELL IVEY MD

Pediatrics

101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262

Mecklenburg County (704) 717-2000

ANDY YOUNG JIN KIM NP

Nurse Practitioner

101 E W T HARRIS BLVD
CHARLOTTE, NC 28262

Mecklenburg County (704) 863-9850

DR. KATHLEEN MARIE REARDON MD

Pediatrics

101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262

Mecklenburg County (704) 717-2000

JOHN STUART SALMON MD

Internal Medicine (Hematology)

101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262

Mecklenburg County (704) 863-6160

RICHARD BOESEL MD

Obstetrics & Gynecology

101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262

Mecklenburg County (704) 547-0858

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 Nikhil Balakrishnan's NPI number?

The NPI number for Nikhil Balakrishnan is 1396993184. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Nikhil Balakrishnan located?

Nikhil Balakrishnan practices at 101 E W T Harris Blvd Ste 5202, Charlotte, NC 28262. The listed phone number is (704) 863-8700.

What is Nikhil Balakrishnan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nikhil Balakrishnan enrolled in Medicare?

Yes. Nikhil Balakrishnan 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 organizations bill Medicare for Nikhil Balakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Balakrishnan reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Duke Health Integrated Practice, Inc. (Mooresville, NC). Each 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 Nikhil Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Balakrishnan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Nikhil Balakrishnan 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 Nikhil Balakrishnan affiliated with any hospitals?

According to CMS data, Nikhil Balakrishnan is affiliated with Carolinas Medical Center-Northeast, Novant Health Rowan Medical Center, Duke University Hospital, Carolinas Medical Center/Behav Health and Lake Norman Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Balakrishnan was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.