KARL ERACH BALSARA MD
NPI 1639490857
Neurological Surgery in Oklahoma City, OK
About Karl Erach Balsara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARL ERACH BALSARA MD (NPI 1639490857) is an individual neurological surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (39738) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Baylor College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karl Erach Balsara 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.
Medicare Billing Reassignment
Medicare enrollment records show Karl Balsara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
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 Karl Balsara's NPI number?
The NPI number for Karl Balsara is 1639490857. It was assigned to this individual provider in the NPPES registry on June 22, 2010.
Where is Karl Balsara located?
Karl Balsara practices at 1000 N Lincoln Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-8888.
What is Karl Balsara's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Karl Balsara enrolled in Medicare?
Yes. Karl Balsara 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.
Which organization bills Medicare for Karl Balsara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Balsara reassigns Medicare benefits to Ou Health Partners, Inc (Oklahoma City, OK). The 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 Karl Balsara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karl Balsara accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Karl Balsara 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 Karl Balsara was last updated on December 7, 2022. 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.
# Karl Erach Balsara, MD · NPI 1639490857
Neurological Surgery physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since June 22, 2010.
## Identity
- **NPI:** 1639490857 (Entity type: Individual)
- **Enumerated:** June 22, 2010
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **State license:** 39738 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N LINCOLN BLVD, Oklahoma City, OK 73104-3252
- **Phone:** (405) 271-8888 · **Fax:** (405) 271-4921
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** December 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1639490857) · Data from the CMS NPPES public registry.