DR. BALA KRISHNA GIRI M.D.
NPI 1639222706
Neurological Surgery in Dallas, TX

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
79.41/100
CMS Quality Rating
1411 N BECKLEY AVE, PAVILLION III, SUITE 474, DALLAS, TX 75203(214) 393-5007(214) 942-1495 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bala Krishna Giri M.d. NPPES

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

DR. BALA KRISHNA GIRI M.D. (NPI 1639222706) is an individual neurological surgery provider in Dallas, Texas, licensed in Texas (J7781) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Dallas Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1993).

NPPES Registry Identity

NPI1639222706
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. BALA KRISHNA GIRICredential: M.D.
Location Address1411 N BECKLEY AVE, PAVILLION III, SUITE 474Dallas, TX 75203-1259
Mailing Address1411 N Beckley Ave, Pavillion Iii, Suite 474Dallas, TX 75203-1259 · (214) 393-5007
Fax(214) 942-1495
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1993
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 16, 2014
NPI 1639222706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · J7781
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1411 N BECKLEY AVE, Dallas, TX 75203

Accepted 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. Bala Krishna Giri 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 ID9234220369
PECOS Enrollment IDI20070803000454
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 7

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
151 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
90 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 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.
34 services11 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
32 services13 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450051
Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County
Emergency services Birthing friendly

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75203 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

79.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.18
Improvement Activities40
Cost28.96

Reported Quality Measures

Advance Care Plan
98%612 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,107 patients5/55-star benchmark: 100%
Falls: Plan of Care
100%25 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,110 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 626 patients
Patients screened: 93% · 626 patients
100%65 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 93% · 589 patients
Patients screened: 93% · 589 patients
100%23 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pharmacist (Ambulatory Care)
1411 N BECKLEY AVE
DALLAS, TX 75203
Transplant Surgery
1411 N BECKLEY AVE, PAV III STE#268
DALLAS, TX 75203
Dermatology (MOHS-Micrographic Surgery)
1411 N BECKLEY AVE, PAVILION III, SUITE 470
DALLAS, TX 75203
Internal Medicine
1411 N BECKLEY AVE, PAVILION III, STE. 352
DALLAS, TX 75203
Nurse Practitioner (Family)
1411 N BECKLEY AVE, STE 152
DALLAS, TX 75203
Nurse Practitioner (Family)
1411 N BECKLEY AVE, PAV III STE#152
DALLAS, TX 75203
Durable Medical Equipment & Medical Supplies
1411 N BECKLEY AVE, PAV III STE#152
DALLAS, TX 75203
Anesthesiology (Pain Medicine)
1411 N BECKLEY AVE, PAV. III, SUITE 152
DALLAS, TX 75203

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 Bala Giri's NPI number?

The NPI number for Bala Giri is 1639222706. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Bala Giri located?

Bala Giri practices at 1411 N Beckley Ave Pavillion III, Suite 474, Dallas, TX 75203. The listed phone number is (214) 393-5007.

What is Bala Giri's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Bala Giri enrolled in Medicare?

Yes. Bala Giri 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 Bala Giri accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Bala Giri 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 Bala Giri affiliated with any hospitals?

According to CMS data, Bala Giri is affiliated with Methodist Dallas Medical Center, Methodist Charlton Medical Center and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Bala Giri was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.