GAUTHAMI BALAGOPAL MD
NPI 1679223762
Hospitalist in Cambridge, MA

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-1000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1679223762
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameGAUTHAMI BALAGOPALCredential: MD
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1099
Mailing Address1493 Cambridge StCambridge, MA 02139-1099 · (617) 665-1000
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1679223762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MA · 1023307
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1493 CAMBRIDGE ST, Cambridge, MA 02139

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

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.

PECOS PAC ID8921489279
PECOS Enrollment IDI20250711000523
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.

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, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician 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.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139

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.

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 14 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.