DR. KETHANDAPATTI CHAKRAVARTHY BALAJI MBBS
NPI 1558314484
Urology in Jacksonville, FL

Q: What is Kethandapatti Balaji's NPI number?

The NPI number for Kethandapatti Balaji is 1558314484. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Kethandapatti Balaji's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

81.9/100

CMS Quality Rating

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 383-1016 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2018, Jul 16, 2018, Oct 11, 2016 (3 updates tracked since 2016).

On this page

About Dr. Kethandapatti Chakravarthy Balaji Mbbs NPPES

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

DR. KETHANDAPATTI CHAKRAVARTHY BALAJI MBBS (NPI 1558314484) is an individual urology provider in Jacksonville, Florida, licensed in Florida (ME137242) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1558314484

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. KETHANDAPATTI CHAKRAVARTHY BALAJICredential: MBBS

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 383-1016

Phone(904) 383-1016

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMay 19, 2006

Last NPPES UpdateNovember 14, 20183 updates tracked since enumeration

✔ NPI 1558314484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in FL · ME137242✔ Licensed in NC · 2010-01458

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

655 W 8TH ST, Jacksonville, FL 32209

Open in Google Maps ↗

Other Identifiers 1

Medicaid5915217NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 and accepts Medicare assignment

Dr. Kethandapatti Chakravarthy Balaji Mbbs 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 ID6507874567

PECOS Enrollment IDI20181107002000

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

115 services87 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services40 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

81.9/100

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

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology