DR. PRAVEEN CHANDAR BALRAJ MD
NPI 1447562640
Surgery - Vascular Surgery in Queen Creek, AZ

Active since July 06, 2010PECOS EnrolledAccepts Medicare Assignment
21321 E OCOTILLO RD STE 125, QUEEN CREEK, AZ 85142(480) 936-7722(480) 936-7723 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, Jun 16, 2021 (2 updates tracked since 2021).

About Dr. Praveen Chandar Balraj Md NPPES

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

DR. PRAVEEN CHANDAR BALRAJ MD (NPI 1447562640) is an individual vascular surgery provider in Queen Creek, Arizona, licensed in Arizona (55078) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447562640
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. PRAVEEN CHANDAR BALRAJCredential: MD
Location Address21321 E OCOTILLO RD STE 125Queen Creek, AZ 85142-5995
Mailing Address2040 S Alma School Rd Ste 1Chandler, AZ 85286-7076 · (480) 936-7722 · Fax (480) 936-7723
Fax(480) 936-7723
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 6, 2010
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
NPI 1447562640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in AZ · 55078 Licensed in MI · 4301103519
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License MT191085 (PA)
21321 E OCOTILLO RD STE 125, Queen Creek, AZ 85142

Other Identifiers 1

Medicaid316871AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Praveen Chandar Balraj 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 ID6305159062
PECOS Enrollment IDI20171121002534
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.

Areas of Expertise CMS Part B claims 23

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 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.
280 services207 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
152 services128 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
131 services99 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
118 services84 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.
96 services96 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.
87 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 5

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

Surgery (Vascular Surgery)
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ 85142
Durable Medical Equipment & Medical Supplies
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ 85142
Physical Therapist
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ 85142
Chiropractor
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ 85142
Physical Therapist
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ 85142

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 Praveen Chandar Balraj's NPI number?

The NPI number for Praveen Chandar Balraj is 1447562640. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Praveen Chandar Balraj located?

Praveen Chandar Balraj practices at 21321 E Ocotillo Rd Ste 125, Queen Creek, AZ 85142. The listed phone number is (480) 936-7722.

What is Praveen Chandar Balraj's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Praveen Chandar Balraj enrolled in Medicare?

Yes. Praveen Chandar Balraj 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.

What insurance does Praveen Chandar Balraj accept?

Health plans from Ambetter from Arizona Complete Health list Praveen Chandar Balraj 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.

When was this NPI record last updated?

The NPPES record for Praveen Chandar Balraj was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.