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DR. MINI BALAJI M.D.
NPI 1578765863
Internal Medicine in Dover, NJ

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
400 W BLACKWELL ST, VITAL MEDICAL FORCES, DOVER, NJ 07801(973) 989-3000 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mini Balaji M.d. NPPES

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

DR. MINI BALAJI M.D. (NPI 1578765863) is an individual internal medicine provider in Dover, New Jersey, licensed in New Jersey (25MA08316100) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1578765863
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MINI BALAJICredential: M.D.
Location Address400 W BLACKWELL ST, VITAL MEDICAL FORCESDover, NJ 07801-2525
Mailing Address12 Bernadette Cir, Monmouth JunctionMonmouth Junction, NJ 08852-2681
Phone(973) 989-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 31, 2007
Last NPPES UpdateMay 16, 2012
✔ NPI 1578765863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08316100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 W BLACKWELL ST, Dover, NJ 07801
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Other Names 1

Former Name (1)Dr. Mini Radha Podiyan Mbbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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. Mini Balaji 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 ID1355409103
PECOS Enrollment IDI20081022000539
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

5

Medicare enrollment records show Mini Balaji reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC
16 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Barnabas Health Medical Group, PC
17 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Rwjbh Primary Care Services
17 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000
Rwjbh Emergency Medicine Associates, LLC
24 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Princeton Healthcare Affiliated Physicians PC
27 mi
Family Medicine
390 AMWELL RD, STE 405
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 249 clinicians in this Medicare group
NPI 1023493806 (908) 281-1199

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
645 services296 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
260 services140 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
198 services195 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services36 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07801 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

NEIL P UDANI M.D.
Hospitalist
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 989-3085
JERSEY PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 989-3171
SAINT CLARE'S HOSPITAL INC.
Skilled Nursing Facility
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 989-3539
LIFEWORKS BEHAVIORAL HEALTH
Social Worker (Clinical)
400 W BLACKWELL ST, SAINT CLARE'S HEALTH SYSTEM, SR. CATHERINE'S HEALTH CTR
DOVER, NJ 07801
Morris County (973) 537-3940
KEVIN JOHN
Physician Assistant (Medical)
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (201) 779-4473
REMEDIOS N AZARES APNC
Nurse Practitioner
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 989-3085
DR. JAYA SINGH M.D.
Internal Medicine
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 989-3085
KND DEVELOPMENT 59, LLC
Hospitalist
400 W BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 537-3818

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 Mini Balaji's NPI number?

The NPI number for Mini Balaji is 1578765863. It was assigned to this individual provider in the NPPES registry on May 31, 2007. The provider is also known as Dr. Mini Radha Podiyan Mbbs.

Where is Mini Balaji located?

Mini Balaji practices at 400 W Blackwell St Vital Medical Forces, Dover, NJ 07801. The listed phone number is (973) 989-3000.

What is Mini Balaji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mini Balaji enrolled in Medicare?

Yes. Mini Balaji 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 Mini Balaji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mini Balaji reassigns Medicare benefits to 5 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Barnabas Health Medical Group, PC (West Orange, NJ), Rwjbh Primary Care Services (West Orange, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Princeton Healthcare Affiliated Physicians PC (Hillsborough, NJ). 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 Mini Balaji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mini Balaji accept?

Health plans from Ambetter Health and Oscar Health list Mini Balaji 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 Mini Balaji affiliated with any hospitals?

According to CMS data, Mini Balaji is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Mini Balaji was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.