PRIYADARSHINI BALASUBRAMANIAN M.D.
NPI 1457706426
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Haven, CT

Active since April 27, 2016PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST, NEW HAVEN, CT 06510(201) 210-9033 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Priyadarshini Balasubramanian M.d. NPPES

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

PRIYADARSHINI BALASUBRAMANIAN M.D. (NPI 1457706426) is an individual endocrinology, diabetes & metabolism provider in New Haven, Connecticut, licensed in Connecticut (0063506) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457706426
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePRIYADARSHINI BALASUBRAMANIANCredential: M.D.
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address789 Howard AveNew Haven, CT 06519-1304 · (203) 785-7474
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 27, 2016
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
NPI 1457706426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CT · 0063506
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 63579 (CT)
20 YORK ST, New Haven, CT 06510

Secondary Practice Location 1

Location 1789 Howard AveNew Haven, CT 06519-1304 · Phone (203) 785-7474

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

Priyadarshini Balasubramanian 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 ID648514703
PECOS Enrollment IDI20220818000143
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 2

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.

Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services16 patients
Follow-up hospital inpatient care per day, typically 25 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.
32 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510

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 Priyadarshini Balasubramanian's NPI number?

The NPI number for Priyadarshini Balasubramanian is 1457706426. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Priyadarshini Balasubramanian located?

Priyadarshini Balasubramanian practices at 20 York St, New Haven, CT 06510. The listed phone number is (201) 210-9033.

What is Priyadarshini Balasubramanian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Priyadarshini Balasubramanian enrolled in Medicare?

Yes. Priyadarshini Balasubramanian 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.

When was this NPI record last updated?

The NPPES record for Priyadarshini Balasubramanian was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.