RUPA BALA MD
NPI 1417983123
Internal Medicine - Clinical Cardiac Electrophysiology in Providence, RI

Q: What is Rupa Bala's NPI number?

The NPI number for Rupa Bala is 1417983123. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Rupa Bala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Rupa Bala was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 24, 2006PECOS EnrolledAccepts Medicare Assignment

88.52/100

CMS Quality Rating

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5891(401) 444-5158 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 11, 2025, Nov 6, 2025, Nov 10, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Rupa Bala Md NPPES

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

RUPA BALA MD (NPI 1417983123) is an individual clinical cardiac electrophysiology provider in Providence, Rhode Island, licensed in Rhode Island (MD20988) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1417983123

Entity TypeIndividualFemale

Primary Taxonomy207RC0001X

Provider Legal NameRUPA BALACredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-5891

Fax(401) 444-5158

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1998

Enumeration DateJune 24, 2006

Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1417983123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

Licenses✔ Licensed in RI · MD20988✔ Licensed in KY · 61384✔ Licensed in FL · ME159707

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 61384 (KY)

593 EDDY ST, Providence, RI 02903

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Secondary Practice Locations 6

Location 1208 Collyer St Ste 100Providence, RI 02904-1560 · Phone (401) 793-7191 · Fax (401) 228-0073

Location 25575 E SR 44Wildwood, FL 34785-8282 · Phone (352) 571-4418 · Fax (352) 661-3905

Location 3308 W Highland BlvdInverness, FL 34452-4716 · Phone (352) 726-8353 · Fax (352) 726-5038

Location 4801 E Dixie AveLeesburg, FL 34748-7699 · Phone (352) 315-0627 · Fax (352) 315-1012

Location 5800 Rose StLexington, KY 40536-0294 · Phone (859) 323-0295

Location 6593 Eddy StProvidence, RI 02903-4923 · Phone (401) 606-1004 · Fax (401) 606-1153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Rupa Bala 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 ID9234147943

PECOS Enrollment IDI20141206000422, I20210401000282, I20251124003500

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 Rupa Bala reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

Rhode Island Hospital

Same address

Advanced Heart Failure and Transplant Cardiology

593 EDDY ST, GEORGE BLDG., 1ST FLOOR
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
67 clinicians in this Medicare group

NPI 1962844795 (401) 606-1004

The Miriam Hospital

3.1 mi

Cardiovascular Disease

208 COLLYER ST, SUITE 100
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
106 clinicians in this Medicare group

NPI 1851677470 (401) 793-7191

Albany Medical College

135 mi

Allergy & Immunology

47 NEW SCOTLAND AVE
Albany, NY 12208

Reassigned Medicare billing, New York enrollment
1,640 clinicians in this Medicare group

NPI 1497921688 (518) 262-9600

United Medical Associates PC

234 mi

Clinic/Center

33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905

Reassigned Medicare billing, New York enrollment
528 clinicians in this Medicare group

NPI 1013972801 (607) 770-0025

United Health Services Hospitals, Inc.

235 mi

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

Mckenzie Physician Services LLC

921 mi

General Practice

1573 MALLORY LN STE 100
Brentwood, TN 37027

Reassigned Medicare billing, Oregon enrollment
198 clinicians in this Medicare group

NPI 1316909054 (152) 221-1400

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 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

398 services171 patients

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.

310 services142 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.

153 services92 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.

126 services122 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.

106 services70 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.

83 services83 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.

36 services29 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

29 services28 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

23 services22 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

23 services22 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

20 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

15 services12 patients

Insertion of catheters and destruction of tissue to treat abnormal heart rhythm 93655

This procedure involves placing small tubes (catheters) into your heart via a blood vessel. These catheters emit energy that corrects irregular heartbeats by eliminating the problematic heart tissue. It's a common, minimally invasive method to treat abnormal heart rhythms.

13 services13 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) 93653

This procedure is a detailed study of your heart's electrical activity. A thin tube (catheter) is inserted into your heart to identify and eliminate the area causing a fast heart rate. This helps restore normal heart rhythm, specifically targeting the upper chamber of the heart.

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330013

Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County

Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330094

Location71 Prospect AvenueHudson, NY 12534 · Columbia County

Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

88.52/100

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

Scored as part of a group practice

Quality

78.37

Promoting Interoperability

100

Improvement Activities

Cost

76.76

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 Rupa Bala's NPI number?

The NPI number for Rupa Bala is 1417983123. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Rupa Bala located?

Rupa Bala practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5891.

What is Rupa Bala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Rupa Bala enrolled in Medicare?

Yes. Rupa Bala 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 Rupa Bala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rupa Bala reassigns Medicare benefits to 7 organizations: Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI), The Miriam Hospital (Providence, RI), Albany Medical College (Albany, NY), United Medical Associates PC (Binghamton, NY) and 2 more organizations, listed in the Medicare section above. 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 Rupa Bala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rupa Bala accept?

Health plans from Oscar Health Maintenance Organization of Florida list Rupa Bala 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 Rupa Bala affiliated with any hospitals?

According to CMS data, Rupa Bala is affiliated with Albany Medical Center Hospital, Columbia Memorial Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Rupa Bala was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.