BALAMURUGAN PONNURAJ MSN, FNP-BC
NPI 1639823123
Nurse Practitioner - Family in Bridgeport, CT

Q: What is Balamurugan Ponnuraj's NPI number?

The NPI number for Balamurugan Ponnuraj is 1639823123. It was assigned to this individual provider in the NPPES registry on February 4, 2022.

Q: What is Balamurugan Ponnuraj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 04, 2022PECOS EnrolledAccepts Medicare Assignment

968 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 330-6000 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Balamurugan Ponnuraj Msn, Fnp-bc NPPES

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

BALAMURUGAN PONNURAJ MSN, FNP-BC (NPI 1639823123) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (9832) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639823123

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBALAMURUGAN PONNURAJCredential: MSN, FNP-BC

Location Address968 FAIRFIELD AVEBridgeport, CT 06605-1116

Mailing Address46 Albion StBridgeport, CT 06605-2602 · (203) 330-6000

Phone(203) 330-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 4, 2022

NPPES CertifiedFebruary 4, 2022

✔ NPI 1639823123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CT · 9832

968 FAIRFIELD AVE, Bridgeport, CT 06605

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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

Balamurugan Ponnuraj Msn, Fnp-bc 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 ID4385020064

PECOS Enrollment IDI20221004000554

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06605 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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.

OLIVIA FRANCES BARIL FNP-C

Nurse Practitioner (Family)