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RAJESWARI BALASUBRAMANIAM MD
NPI 1700984192
Internal Medicine - Gastroenterology in Greensburg, PA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
530 SOUTH ST STE G20, GREENSBURG, PA 15601(724) 836-5500(724) 836-3286 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, May 6, 2022, Dec 23, 2016 and 1 more (4 updates tracked since 2016).

About Rajeswari Balasubramaniam Md NPPES

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

RAJESWARI BALASUBRAMANIAM MD (NPI 1700984192) is an individual gastroenterology provider in Greensburg, Pennsylvania, licensed in Pennsylvania (MD051262L) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1700984192
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameRAJESWARI BALASUBRAMANIAMCredential: MD
Location Address530 SOUTH ST STE G20Greensburg, PA 15601-2779
Mailing Address530 South St Ste G20Greensburg, PA 15601-2779 · (724) 836-5500 · Fax (724) 836-1174
Phone(724) 836-5500
Fax(724) 836-3286
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1700984192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD051262L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Other Identifiers 1

Medicaid1584951PA

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

Rajeswari Balasubramaniam 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 ID5991605131
PECOS Enrollment IDI20080825000451
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 10

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.
147 services85 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.
76 services75 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
66 services64 patients
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.
44 services31 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 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.
38 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15601 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.

Other Providers at the Same Location NPPES 2

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

EMILY M CALDWELL PA-C
Physician Assistant (Medical)
530 SOUTH ST STE G20
GREENSBURG, PA 15601
Westmoreland County (724) 836-5500
SHASHI KUMAR MD
Internal Medicine (Gastroenterology)
530 SOUTH ST STE G20
GREENSBURG, PA 15601
Westmoreland County (724) 836-5500

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 Rajeswari Balasubramaniam's NPI number?

The NPI number for Rajeswari Balasubramaniam is 1700984192. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Rajeswari Balasubramaniam located?

Rajeswari Balasubramaniam practices at 530 South St Ste G20, Greensburg, PA 15601. The listed phone number is (724) 836-5500.

What is Rajeswari Balasubramaniam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rajeswari Balasubramaniam enrolled in Medicare?

Yes. Rajeswari Balasubramaniam 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 Rajeswari Balasubramaniam accept?

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

According to CMS data, Rajeswari Balasubramaniam is affiliated with Excela Health Westmoreland Regional Hospital, Excela Health - Frick Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Rajeswari Balasubramaniam was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.