NICHOLAS R BALAJI MD
NPI 1700809571
Internal Medicine - Interventional Cardiology in Annandale, VA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
3301 WOODBURN RD, SUITE #301, ANNANDALE, VA 22003(703) 204-9301(703) 204-0764 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2020, Dec 13, 2018 (2 updates tracked since 2018).

About Nicholas R Balaji Md NPPES

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

NICHOLAS R BALAJI MD (NPI 1700809571) is an individual interventional cardiology provider in Annandale, Virginia, licensed in Virginia (0101254584) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of University Of Michigan Medical School (2003).

NPPES Registry Identity

NPI1700809571
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameNICHOLAS R BALAJICredential: MD
Location Address3301 WOODBURN RD, SUITE #301Annandale, VA 22003-1229
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (703) 204-9301 · Fax (703) 204-0764
Fax(703) 204-0764
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2003
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1700809571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in VA · 0101254584
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD036018 (MD)
3301 WOODBURN RD, Annandale, VA 22003

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

Nicholas R Balaji 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 ID8628074671
PECOS Enrollment IDI20110818000506, I20200617000002
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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,028 services891 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
347 services328 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.
347 services302 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
199 services194 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
161 services160 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
72 services72 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Surgery (Plastic and Reconstructive Surgery)
3301 WOODBURN RD, SUITE 202
ANNANDALE, VA 22003
Internal Medicine (Gastroenterology)
3301 WOODBURN RD, SUITE #107
ANNANDALE, VA 22003
Internal Medicine
3301 WOODBURN RD, SUITE 202
ANNANDALE, VA 22003
Specialist
3301 WOODBURN RD, SUITE 202
ANNANDALE, VA 22003
Ophthalmology
3301 WOODBURN RD, SUITE 308
ANNANDALE, VA 22003
Specialist
3301 WOODBURN RD, SUITE 301
ANNANDALE, VA 22003
Surgery
3301 WOODBURN RD, 209
ANNANDALE, VA 22003
Neurological Surgery
3301 WOODBURN RD, SUITE 211
ANNANDALE, VA 22003

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 Nicholas Balaji's NPI number?

The NPI number for Nicholas Balaji is 1700809571. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Nicholas Balaji located?

Nicholas Balaji practices at 3301 Woodburn Rd Suite #301, Annandale, VA 22003. The listed phone number is (703) 204-9301.

What is Nicholas Balaji's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Nicholas Balaji enrolled in Medicare?

Yes. Nicholas Balaji 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 Nicholas Balaji affiliated with any hospitals?

According to CMS data, Nicholas Balaji is affiliated with Inova Alexandria Hospital, Novant Prince William Medical Center and Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Balaji was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.