DR. PRIYANKA BALLAL MD
NPI 1568982502
Internal Medicine - Rheumatology in Charleston, SC
About Dr. Priyanka Ballal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYANKA BALLAL MD (NPI 1568982502) is an individual rheumatology provider in Charleston, South Carolina, licensed in South Carolina (87284) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Conway.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Priyanka Ballal 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.
Medicare Billing Reassignments
2Medicare enrollment records show Priyanka Ballal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Murrells Inlet, SC 29576
- Reassigned Medicare billing, South Carolina enrollment
- 142 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCTidelands Georgetown Memorial Hospital
Acute Care Hospitals · Georgetown, SCMusc Health Columbia Medical Center Downtown
Acute Care Hospitals · Columbia, SCConway Medical Center
Acute Care Hospitals · Conway, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLESTON, SC 29425
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 Priyanka Ballal's NPI number?
The NPI number for Priyanka Ballal is 1568982502. It was assigned to this individual provider in the NPPES registry on June 21, 2017.
Where is Priyanka Ballal located?
Priyanka Ballal practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Priyanka Ballal's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Priyanka Ballal enrolled in Medicare?
Yes. Priyanka Ballal 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.
Which organizations bill Medicare for Priyanka Ballal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Ballal reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Conway Hospital, Inc. (Murrells Inlet, SC). 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 Priyanka Ballal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priyanka Ballal accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Priyanka Ballal 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 Priyanka Ballal affiliated with any hospitals?
According to CMS data, Priyanka Ballal is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown and Conway Medical Center.
When was this NPI record last updated?
The NPPES record for Priyanka Ballal was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Priyanka Ballal, MD · NPI 1568982502
Rheumatology physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 21, 2017.
## Identity
- **NPI:** 1568982502 (Entity type: Individual)
- **Enumerated:** June 21, 2017
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 87284 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-8908
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC); Conway Hospital, Inc. (NPI 1548963853, Murrells Inlet, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568982502) · Data from the CMS NPPES public registry.