NIVEDITHA BALAKUMAR MD
NPI 1487061321
Pediatrics - Pediatric Critical Care Medicine in San Antonio, TX

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

Active since July 11, 2014PECOS Enrolled

333 N SANTA ROSA ST, SAN ANTONIO, TX 78207(210) 704-2011 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2024, Jun 4, 2020 (2 updates tracked since 2020).

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About Niveditha Balakumar Md NPPES

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

NIVEDITHA BALAKUMAR MD (NPI 1487061321) is an individual pediatric critical care medicine provider in San Antonio, Texas, licensed in Texas (S4440) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487061321

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameNIVEDITHA BALAKUMARCredential: MD

Location Address333 N SANTA ROSA STSan Antonio, TX 78207-3108

Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255 · (210) 704-3030 · Fax (210) 704-4527

Phone(210) 704-2011

Sole ProprietorNo

Enumeration DateJuly 11, 2014

Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1487061321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in TX · S4440

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License S4440 (TX)

333 N SANTA ROSA ST, San Antonio, TX 78207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niveditha Balakumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.