MR. NILESH N BALAR M.D.
NPI 1568460491
Surgery - Vascular Surgery in Bronx, NY

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
3175 E TREMONT AVE, BRONX, NY 10461(718) 823-7135(718) 823-7136 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nilesh N Balar M.d. NPPES

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

MR. NILESH N BALAR M.D. (NPI 1568460491) is an individual vascular surgery provider in Bronx, New York, licensed in New York (209680) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1568460491
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMR. NILESH N BALARCredential: M.D.
Location Address3175 E TREMONT AVEBronx, NY 10461-5700
Mailing Address3175 E Tremont AveBronx, NY 10461-5700 · (718) 823-7135 · Fax (718) 823-7136
Fax(718) 823-7136
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 13, 2005
Last NPPES UpdateDecember 5, 2007
NPI 1568460491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NY · 209680
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3175 E TREMONT AVE, Bronx, NY 10461

Other Identifiers 4

Medicaid01974354NY
Medicare ID-Type Unspecified822L331
Medicare UPINH00591
Medicare PIN087637TSHNJ

Accepted 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

Mr. Nilesh N Balar 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 ID8921093550
PECOS Enrollment IDI20040414001842, I20070723000625
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 6

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 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.
122 services96 patients
Ultrasound of aorta, vena cava, groin vessels or bypass grafts 93979
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps doctors check for issues like blockages or enlargements. It's non-invasive and painless.
71 services62 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
55 services45 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
36 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

St Joseph's Medical Center

Acute Care Hospitals · Yonkers, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330006
Location127 South BroadwayYonkers, NY 10701 · Westchester County
Emergency services

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

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.

Occupational Therapist
3175 E TREMONT AVE
BRONX, NY 10461
Early Intervention Provider Agency
3175 E TREMONT AVE, 2ND FLOOR
BRONX, NY 10461
Legal Medicine
3175 E TREMONT AVE, 2ND FLOOR
BRONX, NY 10461
Case Manager/Care Coordinator
3175 E TREMONT AVE
BRONX, NY 10461
Case Manager/Care Coordinator
3175 E TREMONT AVE
BRONX, NY 10461
Case Manager/Care Coordinator
3175 E TREMONT AVE
BRONX, NY 10461
Social Worker (Clinical)
3175 E TREMONT AVE
BRONX, NY 10461
Surgery (Vascular Surgery)
3175 E TREMONT AVE
BRONX, NY 10461

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 Nilesh Balar's NPI number?

The NPI number for Nilesh Balar is 1568460491. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Nilesh Balar located?

Nilesh Balar practices at 3175 E Tremont Ave, Bronx, NY 10461. The listed phone number is (718) 823-7135.

What is Nilesh Balar's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Nilesh Balar enrolled in Medicare?

Yes. Nilesh Balar 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 Nilesh Balar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nilesh Balar 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.

Is Nilesh Balar affiliated with any hospitals?

According to CMS data, Nilesh Balar is affiliated with Saint Michael's Medical Center, St Joseph's Medical Center and Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Nilesh Balar was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.