1. Home
  2. Directory
  3. California
  4. French Camp
  5. Family Medicine
  6. NPI Profile

DR. KALPANA BALAGURU M.D.
NPI 1457364184
Family Medicine in French Camp, CA

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
500 W. HOSPITAL RD., FRENCH CAMP, CA 95231(209) 468-6937(209) 468-7042 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kalpana Balaguru M.d. NPPES

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

DR. KALPANA BALAGURU M.D. (NPI 1457364184) is an individual family medicine provider in French Camp, California, licensed in California (A93260) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1457364184
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KALPANA BALAGURUCredential: M.D.
Location Address500 W. HOSPITAL RD.French Camp, CA 95231
Mailing AddressPo Box 1020Stockton, CA 95201-3120 · (209) 468-6937 · Fax (209) 468-7042
Phone(209) 468-6937
Fax(209) 468-7042
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 14, 2006
Last NPPES UpdateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
✔ NPI 1457364184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A93260
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 W. HOSPITAL RD., French Camp, CA 95231
Open in Google Maps ↗

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

Dr. Kalpana Balaguru 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.

PECOS PAC ID7719996032
PECOS Enrollment IDI20060414000055
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 Reassignment

Medicare enrollment records show Kalpana Balaguru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.1 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95231 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

COUNTY OF SAN JOAQUIN
Clinic/Center (Radiology)
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6937
THOMAS C. MITCHELL P.A.
Physician Assistant
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6937
MISS CECILIA TAM
Nutritionist
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6000
JEFFREY HUEY
Nutritionist
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6000
QUYNH TU PHAM PHARM D.
Pharmacist
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6000
GAIL MUZZY N.P.
Licensed Practical Nurse
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6937
DENNIS J. LANGONE P.A.
Physician Assistant
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6937
DR. CRISOFORO G. GARZA M.D.
Obstetrics & Gynecology
500 W. HOSPITAL RD.
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6937

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 Kalpana Balaguru's NPI number?

The NPI number for Kalpana Balaguru is 1457364184. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Kalpana Balaguru located?

Kalpana Balaguru practices at 500 W. Hospital Rd., French Camp, CA 95231. The listed phone number is (209) 468-6937.

What is Kalpana Balaguru's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kalpana Balaguru enrolled in Medicare?

Yes. Kalpana Balaguru 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 Kalpana Balaguru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalpana Balaguru reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Kalpana Balaguru'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 Kalpana Balaguru was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.