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DR. RANGA BALASEKARAN MD
NPI 1518965813
Internal Medicine - Gastroenterology in Springdale, AR

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
601 W MAPLE AVE, SUITE 213, SPRINGDALE, AR 72764(479) 757-8150(479) 757-8155 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ranga Balasekaran Md NPPES

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

DR. RANGA BALASEKARAN MD (NPI 1518965813) is an individual gastroenterology provider in Springdale, Arkansas, licensed in Arkansas (E7733) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1994).

NPPES Registry Identity

NPI1518965813
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RANGA BALASEKARANCredential: MD
Location Address601 W MAPLE AVE, SUITE 213Springdale, AR 72764-5335
Mailing Address601 W Maple Ave, Suite 213Springdale, AR 72764-5335 · (479) 757-8150 · Fax (479) 757-8155
Phone(479) 757-8150
Fax(479) 757-8155
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1994
Enumeration DateJuly 11, 2005
Last NPPES UpdateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1518965813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in AR · E7733✔ Licensed in TX · K5792
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
601 W MAPLE AVE, Springdale, AR 72764
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Dr. Ranga Balasekaran 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 ID345240024
PECOS Enrollment IDI20130521000566
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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
64 services64 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
29 services29 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
26 services26 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
23 services23 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
19 services18 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims450 services$6.12 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,400 services$0.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NORTHWEST PHYSICIANS, LLC
Durable Medical Equipment & Medical Supplies
601 W MAPLE AVE, SUITE 505
SPRINGDALE, AR 72764
Washington County (479) 757-5354
DR. ERNEST MCCLINTON M.D.
Emergency Medicine
601 W MAPLE AVE, SUITE 102
SPRINGDALE, AR 72764
Washington County (479) 750-6585
CLINTON H TAYLOR MD
Anesthesiology
601 W MAPLE AVE, SUITE 503
SPRINGDALE, AR 72764
Washington County (479) 751-3722
MR. JOHN MARCUS HEIM D.O.
Orthopaedic Surgery
601 W MAPLE AVE, SUITE 411
SPRINGDALE, AR 72764
Washington County (479) 757-5354
MRS. SHAWNNA ALLBRITTON L.M.S.W
Social Worker
601 W MAPLE AVE, 6TH FLOOR - REGENCY
SPRINGDALE, AR 72764
Washington County (479) 757-2656
MR. KEVIN CHRISTOPHER BALTZ PT
Physical Therapist
601 W MAPLE AVE, SUITE 505
SPRINGDALE, AR 72764
Washington County (479) 872-1305
JAMES L. HIATT, D.D.S., P.L.L.C. (SPRINGDALE)
Dentist (Endodontics)
601 W MAPLE AVE
SPRINGDALE, AR 72764
Washington County (479) 750-0110
JENNY RAINEY I LPTA
Physical Therapy Assistant
601 W MAPLE AVE
SPRINGDALE, AR 72764
Washington County (479) 757-4700

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 Ranga Balasekaran's NPI number?

The NPI number for Ranga Balasekaran is 1518965813. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Ranga Balasekaran located?

Ranga Balasekaran practices at 601 W Maple Ave Suite 213, Springdale, AR 72764. The listed phone number is (479) 757-8150.

What is Ranga Balasekaran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ranga Balasekaran enrolled in Medicare?

Yes. Ranga Balasekaran 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 Ranga Balasekaran accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Ranga Balasekaran 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.

When was this NPI record last updated?

The NPPES record for Ranga Balasekaran was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.