DR. BALKISSOON MAHARAJH MD
NPI 1679559272
Internal Medicine in Johnstown, PA

Q: What is Balkissoon Maharajh's NPI number?

The NPI number for Balkissoon Maharajh is 1679559272. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Q: What is Balkissoon Maharajh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment

1015 FRANKLIN ST, LEVEL A, JOHNSTOWN, PA 15905(814) 536-9715(814) 539-6138 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Balkissoon Maharajh Md NPPES

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

DR. BALKISSOON MAHARAJH MD (NPI 1679559272) is an individual internal medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD051194L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1679559272

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BALKISSOON MAHARAJHCredential: MD

Location Address1015 FRANKLIN ST, LEVEL AJohnstown, PA 15905

Mailing Address1015 Franklin St, Level AJohnstown, PA 15905 · (814) 536-9715 · Fax (814) 539-6138

Phone(814) 536-9715

Fax(814) 539-6138

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateDecember 16, 2005

Last NPPES UpdateAugust 31, 2020

NPPES CertifiedAugust 31, 2020

✔ NPI 1679559272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD051194L

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1015 FRANKLIN ST, Johnstown, PA 15905

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Other Identifiers 1

Medicaid0014267380003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Balkissoon Maharajh 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 ID4981622107

PECOS Enrollment IDI20100510000003

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

383 services154 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

373 services48 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

361 services116 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

90 services67 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services68 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.

81 services55 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

75 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

64 services40 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

34 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services22 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390112

Location600 Somerset AvenueWindber, PA 15963 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

82%55 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

82%88 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

98%80 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%68 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers25 claims32 services$4.74 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers11 claims15 services$35.62 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers17 claims46 services$2.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA GEARY ACNP

Nurse Practitioner (Acute Care)

1015 FRANKLIN ST, WESSEL BUILDING LEVEL D
JOHNSTOWN, PA 15905

Cambria County (814) 534-5042

VALLEY SURGEONS, INC

Surgery

1015 FRANKLIN ST, LEVEL C, WESSEL BLDG
JOHNSTOWN, PA 15905

Cambria County (814) 539-8725

CONEMAUGH HEALTH COMPANY LLC

Durable Medical Equipment & Medical Supplies

1015 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-4430

CONEMAUGH HEALTH INITIATIVES

Physical Medicine & Rehabilitation

1015 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 534-5700

LAUREL CARDIOLOGY PC

Specialist

1015 FRANKLIN ST, WESSEL BUILDING LEVEL D
JOHNSTOWN, PA 15905

Cambria County (814) 534-5042

BANMAHA PC

Internal Medicine

1015 FRANKLIN ST
JOHNSTOWN, PA 15905

Cambria County (814) 536-9715

MISS NATALIE MAHARAJH PA

Physician Assistant (Medical)

1015 FRANKLIN ST, LEVEL A
JOHNSTOWN, PA 15905

Cambria County (814) 536-9715

BRUCE E DUKE III M.D.

Surgery

1015 FRANKLIN ST, LEVEL C, WESSEL BLDG
JOHNSTOWN, PA 15905

Cambria County (814) 539-8725

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 Balkissoon Maharajh's NPI number?

The NPI number for Balkissoon Maharajh is 1679559272. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Balkissoon Maharajh located?

Balkissoon Maharajh practices at 1015 Franklin St Level A, Johnstown, PA 15905. The listed phone number is (814) 536-9715.

What is Balkissoon Maharajh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Balkissoon Maharajh enrolled in Medicare?

Yes. Balkissoon Maharajh 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.

What insurance does Balkissoon Maharajh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Balkissoon Maharajh 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 Balkissoon Maharajh affiliated with any hospitals?

According to CMS data, Balkissoon Maharajh is affiliated with Upmc Altoona, Conemaugh Memorial Medical Center and Chan Soon- Shiong Medical Center At Windber.

When was this NPI record last updated?

The NPPES record for Balkissoon Maharajh was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.