DR. SHARMINI ASHA BALAKRISHNAN M.D.
NPI 1639306343
Ophthalmology in Louisville, KY

Q: What is Sharmini Balakrishnan's NPI number?

The NPI number for Sharmini Balakrishnan is 1639306343. It was assigned to this individual provider in the NPPES registry on June 20, 2009.

Q: What is Sharmini Balakrishnan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 20, 2009PECOS EnrolledAccepts Medicare Assignment

4.84/100

CMS Quality Rating

301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202(502) 852-7665 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sharmini Asha Balakrishnan M.d. NPPES

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

DR. SHARMINI ASHA BALAKRISHNAN M.D. (NPI 1639306343) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (47077) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1639306343

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. SHARMINI ASHA BALAKRISHNANCredential: M.D.

Location Address301 E MUHAMMAD ALI BLVDLouisville, KY 40202-1511

Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328

Phone(502) 852-7665

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2009

Enumeration DateJune 20, 2009

Last NPPES UpdateJuly 17, 2014

✔ NPI 1639306343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in KY · 47077

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

301 E MUHAMMAD ALI BLVD, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Sharmini Asha Balakrishnan 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 ID3375761679

PECOS Enrollment IDI20160225001358

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 12

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

471 services269 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

427 services249 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

349 services334 patients

Measurement of corneal curvature and depth of eye 92136

285 services282 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

175 services175 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

161 services114 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

126 services126 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

108 services106 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.

89 services88 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

33 services25 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

30 services26 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.

21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

4.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

16.15

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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.

CAITLYN T MULCAHEY MD

Student in an Organized Health Care Education/Training Program

301 E MUHAMMAD ALI BLVD, UNIV. OF LOUISVILLE - DEPT. OF OPHTHALMOLOGY
LOUISVILLE, KY 40202

Jefferson County (502) 852-0710

CHRISTOPHER J COMPTON M.D.

Ophthalmology