MR. BALA MURUGAN GANESAN MD
NPI 1760692263
Hospitalist in Allentown, PA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-5369(610) 402-5959 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Jul 19, 2022 (2 updates tracked since 2022).

About Mr. Bala Murugan Ganesan Md NPPES

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

MR. BALA MURUGAN GANESAN MD (NPI 1760692263) is an individual hospitalist provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD437064) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1760692263
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. BALA MURUGAN GANESANCredential: MD
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 402-5959
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1760692263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD437064
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD437064 (PA)
1200 S CEDAR CREST BLVD, Allentown, PA 18103

Other Names 1

Professional Name (2)Balamurugan Anangur Ganesan M.d.

Other Identifiers 2

OtherP00765902NJ · Rr Medicare
Medicaid0201979-CAPENJ

Accepted 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

Mr. Bala Murugan Ganesan 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 ID1557414703
PECOS Enrollment IDI20171116001016
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 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.
319 services142 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.
264 services128 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.
114 services111 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.
35 services35 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$3.47 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.

Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Radiology (Diagnostic Radiology)
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

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 Bala Ganesan's NPI number?

The NPI number for Bala Ganesan is 1760692263. It was assigned to this individual provider in the NPPES registry on May 23, 2007. The provider is also known as Balamurugan Anangur Ganesan M.D..

Where is Bala Ganesan located?

Bala Ganesan practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-5369.

What is Bala Ganesan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Bala Ganesan enrolled in Medicare?

Yes. Bala Ganesan 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 Bala Ganesan accept?

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

According to CMS data, Bala Ganesan is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Bala Ganesan was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.