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PURNIMA SOBHA BALLA M.D.
NPI 1699958900
Internal Medicine in Englewood, CO

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113(303) 788-6117(720) 788-5227 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 25, 2022, Dec 30, 2021, Dec 14, 2021 (3 updates tracked since 2021).

About Purnima Sobha Balla M.d. NPPES

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

PURNIMA SOBHA BALLA M.D. (NPI 1699958900) is an individual internal medicine provider in Englewood, Colorado, licensed in Colorado (DR0057561) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1699958900
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePURNIMA SOBHA BALLACredential: M.D.
Location Address501 E HAMPDEN AVEEnglewood, CO 80113-2702
Mailing Address3457 Navajo StDenver, CO 80211-3530 · (432) 254-1103
Phone(303) 788-6117
Fax(720) 788-5227
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 10, 2007
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1699958900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CO · DR0057561✔ Licensed in TX · BP10027681
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.
501 E HAMPDEN AVE, Englewood, CO 80113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Purnima Sobha Balla M.d. 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 ID42409948
PECOS Enrollment IDI20161205001374
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
282 services160 patients
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.
189 services111 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services36 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.
26 services26 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80113 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%198 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 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$14.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers39 claims39 services$69.05 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
3 suppliers19 claims19 services$678.43 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
2 suppliers13 claims21 services$421.00 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
3 suppliers15 claims24 services$92.56 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 20

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

KEVIN K JOHNSON MD
Radiology (Diagnostic Radiology)
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 761-9190
MS. JANET RUTH DUBRICK NNP
Nurse Practitioner (Neonatal)
501 E HAMPDEN AVE, S 5556
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6515
ALIDA RAE NEAR M.D.
Anesthesiology
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6749
CHERYL A. MELICK MD
General Practice
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6911
DR. DENETTA SUE SLONE MD
Surgery
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-5300
CLAIRE SAKAMOTO PA
Physician Assistant
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6911
HEALTHONE CLINIC SERVICES - SURGERY NEUROLOGICAL LLC
Neurological Surgery
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-5000
DR. WILLIAM DUNFEE M.D.
Radiology (Diagnostic Radiology)
501 E HAMPDEN AVE
ENGLEWOOD, CO 80113
Arapahoe County (303) 761-9190

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 Purnima Sobha Balla's NPI number?

The NPI number for Purnima Sobha Balla is 1699958900. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Purnima Sobha Balla located?

Purnima Sobha Balla practices at 501 E Hampden Ave, Englewood, CO 80113. The listed phone number is (303) 788-6117.

What is Purnima Sobha Balla's specialty?

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

Is Purnima Sobha Balla enrolled in Medicare?

Yes. Purnima Sobha Balla 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 Purnima Sobha Balla accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Purnima Sobha Balla 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.

When was this NPI record last updated?

The NPPES record for Purnima Sobha Balla was last updated on January 25, 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.