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KARTHIK BALAKRISHNAN MD, MPH
NPI 1528070844
Otolaryngology - Pediatric Otolaryngology in Palo Alto, CA

Active since August 13, 2006PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2024, Sep 4, 2020, Jan 10, 2020 and 2 more (5 updates tracked since 2019).

About Karthik Balakrishnan Md, Mph NPPES

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

KARTHIK BALAKRISHNAN MD, MPH (NPI 1528070844) is an individual pediatric otolaryngology provider in Palo Alto, California, licensed in California (C165904) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1528070844
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameKARTHIK BALAKRISHNANCredential: MD, MPH
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(650) 497-8000
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 28, 20245 updates tracked since enumeration
NPPES CertifiedApril 28, 2024
✔ NPI 1528070844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Licenses✔ Licensed in CA · C165904✔ Licensed in MN · 57963
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 57963 (MN), 35.098513 (OH), 68843 (WI), ML20008190 (WA), C165904 (CA)
725 WELCH RD, Palo Alto, CA 94304
Open in Google Maps ↗

Secondary Practice Location 1

Location 1730 Welch RdPalo Alto, CA 94304-1503 · Phone (650) 724-4800 · Fax (650) 498-2734

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karthik Balakrishnan Md, Mph 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karthik Balakrishnan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lpch Medical Group Div Of Lucile
Same address
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762
Stanford Health Care
0.2 mi
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
NPI 1437292927 (650) 723-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

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 Karthik Balakrishnan's NPI number?

The NPI number for Karthik Balakrishnan is 1528070844. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Karthik Balakrishnan located?

Karthik Balakrishnan practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Karthik Balakrishnan's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Karthik Balakrishnan enrolled in Medicare?

Yes. Karthik Balakrishnan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karthik Balakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karthik Balakrishnan reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Stanford Health Care (Stanford, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karthik Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karthik Balakrishnan was last updated on April 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.