DR. BALAJI PADMANABAN ATHREYA M.D
NPI 1598745010
Internal Medicine - Hypertension Specialist in Springfield, MA

Q: What is Balaji Athreya's NPI number?

The NPI number for Balaji Athreya is 1598745010. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Balaji Athreya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hypertension Specialist, with taxonomy code 207RH0005X.

Q: When was this NPI record last updated?

The NPPES record for Balaji Athreya was last updated on May 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment

100 WASON AVE, SUITE 200, SPRINGFIELD, MA 01107(413) 733-9666(413) 750-3432 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Balaji Padmanaban Athreya M.d NPPES

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

DR. BALAJI PADMANABAN ATHREYA M.D (NPI 1598745010) is an individual hypertension specialist in Springfield, Massachusetts, licensed in Massachusetts (204517) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1598745010

Entity TypeIndividualMale

Primary Taxonomy207RH0005X

Provider Legal NameDR. BALAJI PADMANABAN ATHREYACredential: M.D

Location Address100 WASON AVE, SUITE 200Springfield, MA 01107-1381

Mailing Address100 Wason Ave, Ste 200Springfield, MA 01107-1179 · (413) 733-9666 · Fax (413) 750-3432

Phone(413) 733-9666

Fax(413) 750-3432

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 19, 2006

Last NPPES UpdateMay 15, 2019

✔ NPI 1598745010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hypertension SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207RH0005X

Licenses✔ Licensed in MA · 204517✔ Licensed in CT · 039023

Definition

A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 204517 (MA), 039023 (CT)

100 WASON AVE, Springfield, MA 01107

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Other Names 1

Former Name (1)Dr. Balaji Padmanabhan Md

Other Identifiers 1

Medicaid0105881MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Balaji Padmanaban Athreya 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 ID8224946983

PECOS Enrollment IDI20071221000108, I20100614000004

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 13

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.

Follow-up hospital inpatient care per day, typically 25 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.

987 services359 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

370 services245 patients

Initial hospital inpatient care per day, typically 70 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.

236 services226 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

190 services82 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

179 services40 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

164 services129 patients

Follow-up hospital inpatient care per day, typically 15 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

66 services42 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

56 services30 patients

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

42 services42 patients

Follow-up hospital inpatient care per day, typically 35 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.

39 services23 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

30 services24 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

17 services14 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220024

Location575 Beech StreetHolyoke, MA 01040 · Hampden County

Emergency services

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.

AMADO RAMOS MUNSON PA

Physician Assistant (Surgical)

100 WASON AVE, SUITE 120
SPRINGFIELD, MA 01107

Hampden County (413) 241-2100

MS. EMILY T LEWIS RD

Dietitian, Registered

100 WASON AVE, SUITE 200
SPRINGFIELD, MA 01107

Hampden County (413) 733-9666

MS. SKY VANDERLINDE FNP

Nurse Practitioner (Family)

100 WASON AVE, SUITE 230
SPRINGFIELD, MA 01107

Hampden County (413) 788-6139

LISA ANN SALISBURY PA

Physician Assistant

100 WASON AVE, SUITE 120
SPRINGFIELD, MA 01107

Hampden County (413) 241-2100

WESTERN NEW ENGLAND RENAL AND TRANSPLANT ASSOCIATES, P.C.

Internal Medicine (Nephrology)

100 WASON AVE, SUITE 200
SPRINGFIELD, MA 01107

Hampden County (413) 733-9666

DR. MICHAEL J GERMAIN MD

Internal Medicine (Nephrology)

100 WASON AVE, SUITE 200
SPRINGFIELD, MA 01107

Hampden County (413) 733-9666

DR. STEPHEN J SWEET MD

Internal Medicine (Nephrology)

100 WASON AVE, SUITE 200
SPRINGFIELD, MA 01107

Hampden County (413) 733-9666

DR. DAVID M POPPEL MD

Internal Medicine (Nephrology)

100 WASON AVE, SUITE 200
SPRINGFIELD, MA 01107

Hampden County (413) 733-9666

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 Balaji Athreya's NPI number?

The NPI number for Balaji Athreya is 1598745010. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Balaji Athreya located?

Balaji Athreya practices at 100 Wason Ave Suite 200, Springfield, MA 01107. The listed phone number is (413) 733-9666.

What is Balaji Athreya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hypertension Specialist, with taxonomy code 207RH0005X.

Is Balaji Athreya enrolled in Medicare?

Yes. Balaji Athreya 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 Balaji Athreya accept?

Health plans from Anthem Blue Cross and Blue Shield list Balaji Athreya 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 Balaji Athreya affiliated with any hospitals?

According to CMS data, Balaji Athreya is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Balaji Athreya was last updated on May 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.