DR. MURALI BALAKRISHNAN M.D.
NPI 1689711160
Orthopaedic Surgery in Silver Spring, MD

Active since January 31, 2007PECOS Enrolled
12201 PLUM ORCHARD DRIVE, SILVER SPRING, MD 20904(301) 572-1000(301) 572-3398 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Murali Balakrishnan M.d. NPPES

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

DR. MURALI BALAKRISHNAN M.D. (NPI 1689711160) is an individual orthopaedic surgery provider in Silver Spring, Maryland, licensed in Maryland (D0055541) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689711160
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MURALI BALAKRISHNANCredential: M.D.
Location Address12201 PLUM ORCHARD DRIVESilver Spring, MD 20904
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424 · Fax (301) 816-6308
Fax(301) 572-3398
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedMay 27, 2021
✔ NPI 1689711160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MD · D0055541✔ Licensed in VA · 0101224093✔ Licensed in DC · MD32151
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
12201 PLUM ORCHARD DRIVE, Silver Spring, MD 20904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Murali Balakrishnan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Murali Balakrishnan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
10410 NORTH KENSINGTON PARKWAY
Kensington, MD 20895

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 20904 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 8

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

Internal Medicine (Nephrology)
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Family Medicine
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Pediatrics (Adolescent Medicine)
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Optometrist
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Family Medicine
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Internal Medicine (Rheumatology)
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Pediatrics
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Internal Medicine
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904

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 Murali Balakrishnan's NPI number?

The NPI number for Murali Balakrishnan is 1689711160. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Murali Balakrishnan located?

Murali Balakrishnan practices at 12201 Plum Orchard Drive, Silver Spring, MD 20904. The listed phone number is (301) 572-1000.

What is Murali Balakrishnan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Murali Balakrishnan enrolled in Medicare?

Yes. Murali Balakrishnan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Murali Balakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Murali Balakrishnan reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD). 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 Murali Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Murali Balakrishnan was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.