BALAKUMAR PANDIAN MD
NPI 1467406967
Internal Medicine in Austin, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
71.01/100
CMS Quality Rating
601 E 15TH ST, AUSTIN, TX 78701(512) 324-7000(512) 477-8933 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Balakumar Pandian Md NPPES

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

BALAKUMAR PANDIAN MD (NPI 1467406967) is an individual internal medicine provider in Austin, Texas, licensed in Texas (L5506) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1467406967
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBALAKUMAR PANDIANCredential: MD
Location Address601 E 15TH STAustin, TX 78701-1930
Mailing Address601 E 15th StAustin, TX 78701-1930 · (512) 324-7000 · Fax (512) 477-8933
Fax(512) 477-8933
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 28, 2012
NPI 1467406967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · L5506
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License L5506 (TX)
601 E 15TH ST, Austin, TX 78701

Other Identifiers 2

Medicare PIN8A5191TX
Medicare UPINH80493

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

Balakumar Pandian 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 ID547263766
PECOS Enrollment IDI20060808000516
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.

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.
32 services18 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.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

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.

Hospitalist
601 E 15TH ST
AUSTIN, TX 78701
Psychiatry & Neurology (Psychiatry)
601 E 15TH ST
AUSTIN, TX 78701
Internal Medicine
601 E 15TH ST
AUSTIN, TX 78701
Internal Medicine
601 E 15TH ST, UT DELL MEDICAL SCHOOL INTERNAL MEDICINE
AUSTIN, TX 78701
Emergency Medicine (Emergency Medical Services)
601 E 15TH ST
AUSTIN, TX 78701
Clinical Nurse Specialist (Adult Health)
601 E 15TH ST
AUSTIN, TX 78701
Emergency Medicine
601 E 15TH ST
AUSTIN, TX 78701
Nurse Practitioner
601 E 15TH ST
AUSTIN, TX 78701

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 Balakumar Pandian's NPI number?

The NPI number for Balakumar Pandian is 1467406967. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Balakumar Pandian located?

Balakumar Pandian practices at 601 E 15th St, Austin, TX 78701. The listed phone number is (512) 324-7000.

What is Balakumar Pandian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Balakumar Pandian enrolled in Medicare?

Yes. Balakumar Pandian 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 Balakumar Pandian accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Balakumar Pandian 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 Balakumar Pandian affiliated with any hospitals?

According to CMS data, Balakumar Pandian is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Balakumar Pandian was last updated on December 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.