BINOD BALAKRISHNAN MD
NPI 1619956042
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI
About Binod Balakrishnan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BINOD BALAKRISHNAN MD (NPI 1619956042) is an individual pediatric critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (56818) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Binod Balakrishnan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Binod Balakrishnan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Childrens Specialty Group Inc
- 424 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Binod Balakrishnan's NPI number?
The NPI number for Binod Balakrishnan is 1619956042. It was assigned to this individual provider in the NPPES registry on January 13, 2006.
Where is Binod Balakrishnan located?
Binod Balakrishnan practices at 9200 W Wisconsin Ave Pediatric Critical Care, Milwaukee, WI 53226. The listed phone number is (414) 266-3360.
What is Binod Balakrishnan's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Binod Balakrishnan enrolled in Medicare?
Yes. Binod Balakrishnan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Binod Balakrishnan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Binod Balakrishnan reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Binod Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Binod Balakrishnan accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Binod Balakrishnan 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.
When was this NPI record last updated?
The NPPES record for Binod Balakrishnan was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Binod Balakrishnan, MD · NPI 1619956042
Pediatric Critical Care Medicine physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since January 13, 2006.
## Identity
- **NPI:** 1619956042 (Entity type: Individual)
- **Enumerated:** January 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 56818 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, Milwaukee, WI 53226-3522
- **Phone:** (414) 266-3360 · **Fax:** (414) 266-3563
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Children's Specialty Group, Inc. (NPI 1942970405, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2017
- **Other identifiers:** Medicaid 1619956042 (WI); Medicare UPIN I47591 (IN); Medicaid 200544850 (IN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619956042) · Data from the CMS NPPES public registry.