GAUTHAMI BALAGOPAL MD
NPI 1679223762
Hospitalist in Cambridge, MA
About Gauthami Balagopal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAUTHAMI BALAGOPAL MD (NPI 1679223762) is an individual hospitalist provider in Cambridge, Massachusetts, licensed in Massachusetts (1023307) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Florida International Univ, College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 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
Gauthami Balagopal 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 Gauthami Balagopal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cambridge Health Alliance
Acute Care Hospitals · Cambridge, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gauthami Balagopal's NPI number?
The NPI number for Gauthami Balagopal is 1679223762. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Gauthami Balagopal located?
Gauthami Balagopal practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-1000.
What is Gauthami Balagopal's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Gauthami Balagopal enrolled in Medicare?
Yes. Gauthami Balagopal 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 Gauthami Balagopal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gauthami Balagopal reassigns Medicare benefits to Cambridge Public Health Commission (Cambridge, MA). 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 Gauthami Balagopal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gauthami Balagopal accept?
Health plans from Taro Health list Gauthami Balagopal 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 Gauthami Balagopal affiliated with any hospitals?
According to CMS data, Gauthami Balagopal is affiliated with Cambridge Health Alliance.
When was this NPI record last updated?
The NPPES record for Gauthami Balagopal was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Gauthami Balagopal, MD · NPI 1679223762
Hospitalist physician in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1679223762 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 1023307 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1493 CAMBRIDGE ST, Cambridge, MA 02139-1099
- **Phone:** (617) 665-1000
## 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:** Cambridge Public Health Commission (NPI 1487603585, Cambridge, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Florida International Univ, College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679223762) · Data from the CMS NPPES public registry.