MS. SHANTI BALASUBRAMANIAN MD
NPI 1609262237
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201(410) 328-6110 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shanti Balasubramanian Md NPPES

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

MS. SHANTI BALASUBRAMANIAN MD (NPI 1609262237) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D85412) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609262237
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMS. SHANTI BALASUBRAMANIANCredential: MD
Location Address22 S GREENE ST, ROOM N3E09Baltimore, MD 21201-1544
Mailing Address22 S Greene St, Room N3e09Baltimore, MD 21201-1544 · (410) 328-6110
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
NPI 1609262237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MD · D85412
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D85412 (MD)
22 S GREENE ST, Baltimore, MD 21201

Other Names 1

Former Name (1)Shanti Prasad Md

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

Ms. Shanti Balasubramanian 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.

PECOS PAC ID8729386925
PECOS Enrollment IDI20231025001631
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
123 services89 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.
80 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
36 services27 patients
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.
34 services30 patients
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.
22 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.03
Promoting Interoperability100
Improvement Activities40
Cost65.53

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.

Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201

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 Shanti Balasubramanian's NPI number?

The NPI number for Shanti Balasubramanian is 1609262237. It was assigned to this individual provider in the NPPES registry on April 10, 2015. The provider is also known as Shanti Prasad MD.

Where is Shanti Balasubramanian located?

Shanti Balasubramanian practices at 22 S Greene St Room N3e09, Baltimore, MD 21201. The listed phone number is (410) 328-6110.

What is Shanti Balasubramanian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shanti Balasubramanian enrolled in Medicare?

Yes. Shanti Balasubramanian 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.

Is Shanti Balasubramanian affiliated with any hospitals?

According to CMS data, Shanti Balasubramanian is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Shanti Balasubramanian was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.