ANDIS BALA
NPI 1770154494
Nurse Practitioner in Plymouth, MA

Active since July 03, 2021PECOS EnrolledAccepts Medicare Assignment
275 SANDWICH ST, PLYMOUTH, MA 02360(508) 746-0284(508) 746-0429 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Jul 3, 2021 (2 updates tracked since 2021).

About Andis Bala NPPES

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

ANDIS BALA (NPI 1770154494) is an individual nurse practitioner in Plymouth, Massachusetts, licensed in Massachusetts (RN2350503) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770154494
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameANDIS BALA
Location Address275 SANDWICH STPlymouth, MA 02360-2183
Mailing Address46 Obery StPlymouth, MA 02360-2237
Fax(508) 746-0429
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 3, 2021
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1770154494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN2350503
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
275 SANDWICH ST, Plymouth, MA 02360

Secondary Practice Locations 2

Location 1137 Tyson Commons LnBraintree, MA 02184-8260 · Phone (617) 895-8945
Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 895-8945

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

Andis Bala 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 ID8628427242
PECOS Enrollment IDI20231207003834
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 9

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.

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.
306 services167 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
61 services61 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.
54 services51 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.
45 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services36 patients

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Occupational Therapist
275 SANDWICH ST
PLYMOUTH, MA 02360
Advanced Practice Midwife
275 SANDWICH ST
PLYMOUTH, MA 02360
Nurse Anesthetist, Certified Registered
275 SANDWICH ST
PLYMOUTH, MA 02360
Internal Medicine (Hematology & Oncology)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
General Acute Care Hospital (Rural)
275 SANDWICH ST
PLYMOUTH, MA 02360
Psychiatric Unit
275 SANDWICH ST
PLYMOUTH, MA 02360
Nurse Practitioner (Family)
275 SANDWICH ST
PLYMOUTH, MA 02360
Physician Assistant
275 SANDWICH ST
PLYMOUTH, MA 02360

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 Andis Bala's NPI number?

The NPI number for Andis Bala is 1770154494. It was assigned to this individual provider in the NPPES registry on July 3, 2021.

Where is Andis Bala located?

Andis Bala practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 746-0284.

What is Andis Bala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andis Bala enrolled in Medicare?

Yes. Andis Bala 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 Andis Bala accept?

Health plans from Anthem Blue Cross and Blue Shield list Andis Bala 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 Andis Bala affiliated with any hospitals?

According to CMS data, Andis Bala is affiliated with Beth Israel Deaconess Hospital Plymouth.

When was this NPI record last updated?

The NPPES record for Andis Bala was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.