DR. VAMSHI KRISHNA SAI BALASETTI M.D.
NPI 1467894675
Psychiatry & Neurology - Vascular Neurology in Montgomery, AL

Q: What is Vamshi Krishna Sai Balasetti's NPI number?

The NPI number for Vamshi Krishna Sai Balasetti is 1467894675. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Q: What is Vamshi Krishna Sai Balasetti's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Active since July 29, 2013PECOS EnrolledAccepts Medicare Assignment

80.87/100

CMS Quality Rating

2065 E SOUTH BLVD STE 201, MONTGOMERY, AL 36116(334) 747-7250(334) 747-7270 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2023, Jul 25, 2022 (2 updates tracked since 2022).

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About Dr. Vamshi Krishna Sai Balasetti M.d. NPPES

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

DR. VAMSHI KRISHNA SAI BALASETTI M.D. (NPI 1467894675) is an individual vascular neurology provider in Montgomery, Alabama, licensed in Alabama (39084) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1467894675

Entity TypeIndividualMale

Primary Taxonomy2084V0102X

Provider Legal NameDR. VAMSHI KRISHNA SAI BALASETTICredential: M.D.

Location Address2065 E SOUTH BLVD STE 201Montgomery, AL 36116-2460

Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159

Phone(334) 747-7250

Fax(334) 747-7270

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 29, 2013

Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1467894675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

Licenses✔ Licensed in AL · 39084✔ Licensed in CA · C200825

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 7108 (NE), C200825 (CA)

2065 E SOUTH BLVD STE 201, Montgomery, AL 36116

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Secondary Practice Location 1

Location 11303 E Herndon AveFresno, CA 93720-3309 · Phone (559) 450-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Dr. Vamshi Krishna Sai Balasetti 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 ID9830321991

PECOS Enrollment IDI20200818001124, I20250527001248, I20250616000321

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 Vamshi Krishna Sai Balasetti reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs

5.4 mi

Neurology

4225 NARROW LANE ROAD
Montgomery, AL 36111

Reassigned Medicare billing, Alabama enrollment
439 clinicians in this Medicare group

NPI 1952609505 (334) 281-7299

Advantage Health/Saint Mary's Medical Group

724 mi

Urgent Care

3925 32ND AVE STE 500
Hudsonville, MI 49426

Reassigned Medicare billing, Michigan enrollment
737 clinicians in this Medicare group

NPI 1538430533 (616) 685-1530

Blue Sky Telehealth, LLC

1,150 mi

Neurology with Special Qualifications in Child Neurology

5600 S QUEBEC ST STE 312A
Greenwood Village, CO 80111

Reassigned Medicare billing, Alabama and Colorado enrollments
3 clinicians in this Medicare group

NPI 1649886458 (303) 343-6272

Saint Agnes Medical Center

1,919 mi

General Acute Care Hospital

1303 E HERNDON AVE
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
181 clinicians in this Medicare group

NPI 1205845567 (559) 450-3000

Asante Physician Partners

2,104 mi

Family Medicine

2620 E BARNETT RD, SUITE H
Medford, OR 97504

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

NPI 1922381326 (541) 789-4728

Sapphire At Gresham Rehab, LLC

2,121 mi

Skilled Nursing Facility

405 NE 5TH ST
Gresham, OR 97030

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
3,207 clinicians in this Medicare group

NPI 1033740899 (503) 666-5600

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 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

85 services28 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.

64 services44 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.

54 services54 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.

23 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

80.87/100

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

Scored as part of a group practice

Quality

76.7

Promoting Interoperability

100

Improvement Activities

Cost

59.55

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information

90%70 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

STEVIE VEGA

Nurse Practitioner (Adult Health)