DR. BALAJI VENKAT D.O.
NPI 1639319916
Emergency Medicine in Los Gatos, CA

Active since February 26, 2009PECOS EnrolledAccepts Medicare Assignment
84.92/100
CMS Quality Rating
15400 LOS GATOS BLVD, LOS GATOS, CA 95032(408) 730-6200 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Balaji Venkat D.o. NPPES

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

DR. BALAJI VENKAT D.O. (NPI 1639319916) is an individual emergency medicine provider in Los Gatos, California, licensed in California (20A11767) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639319916
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BALAJI VENKATCredential: D.O.
Location Address15400 LOS GATOS BLVDLos Gatos, CA 95032-2502
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 26, 2009
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1639319916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · 20A11767
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

15400 LOS GATOS BLVD, Los Gatos, CA 95032

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 Venkat D.o. 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 ID2163610551
PECOS Enrollment IDI20110922000201
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 3

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.

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.
42 services42 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.
39 services39 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95032 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

84.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.98
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Nurse Practitioner (Family)
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Pediatrics
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Family Medicine
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Emergency Medicine
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Internal Medicine
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Pediatrics
15400 LOS GATOS BLVD
LOS GATOS, CA 95032
Nurse Practitioner
15400 LOS GATOS BLVD
LOS GATOS, CA 95032

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 Venkat's NPI number?

The NPI number for Balaji Venkat is 1639319916. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Where is Balaji Venkat located?

Balaji Venkat practices at 15400 Los Gatos Blvd, Los Gatos, CA 95032. The listed phone number is (408) 730-6200.

What is Balaji Venkat's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Balaji Venkat enrolled in Medicare?

Yes. Balaji Venkat 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.

When was this NPI record last updated?

The NPPES record for Balaji Venkat was last updated on September 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.