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SUDHEER BALAKRISHNAN M.D.
NPI 1770803983
Radiology - Diagnostic Radiology in Atlanta, GA

Active since June 10, 2010PECOS Enrolled
80 JESSE HILL JR DR SE FL 3, ATLANTA, GA 30303(404) 616-1000 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sudheer Balakrishnan M.d. NPPES

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

SUDHEER BALAKRISHNAN M.D. (NPI 1770803983) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Georgia (92704) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1770803983
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSUDHEER BALAKRISHNANCredential: M.D.
Location Address80 JESSE HILL JR DR SE FL 3Atlanta, GA 30303-3050
Mailing Address693 Peachtree St Ne Apt 23dAtlanta, GA 30308-4149 · (301) 787-2185
Phone(404) 616-1000
Sole ProprietorNo
Enumeration DateJune 10, 2010
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1770803983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 92704
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116022352 (VA)
80 JESSE HILL JR DR SE FL 3, Atlanta, GA 30303
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 San Pablo St, 2nd FloorLos Angeles, CA 90033-5313 · Phone (323) 442-8541 · Fax (323) 442-8755

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudheer Balakrishnan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sudheer Balakrishnan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
Same address
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
The Emory Clinic Inc
4.3 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
County Of Los Angeles
1,907 mi
Clinic/Center
16921 E AVENUE O STE G
Palmdale, CA 93591
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1720090616 (661) 945-8444
Usc Care Medical Group, Inc
1,935 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
137 services131 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
64 services64 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
63 services63 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
49 services49 patients
Ct scan of blood vessels of abdomen and pelvis with contrast 74174
A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.
49 services49 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
33 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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

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

DR. MICHAEL A MACEROLI MD
Orthopaedic Surgery (Orthopaedic Trauma)
80 JESSE HILL JR DR SE FL 3
ATLANTA, GA 30303
Fulton County (404) 778-1550

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 Sudheer Balakrishnan's NPI number?

The NPI number for Sudheer Balakrishnan is 1770803983. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Sudheer Balakrishnan located?

Sudheer Balakrishnan practices at 80 Jesse Hill Jr Dr SE Fl 3, Atlanta, GA 30303. The listed phone number is (404) 616-1000.

What is Sudheer Balakrishnan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sudheer Balakrishnan enrolled in Medicare?

Yes. Sudheer Balakrishnan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sudheer Balakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudheer Balakrishnan reassigns Medicare benefits to 4 organizations: Emory Medical Care Foundation Inc (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA), County Of Los Angeles (Palmdale, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudheer Balakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudheer Balakrishnan accept?

Health plans from Oscar Health list Sudheer Balakrishnan 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 Sudheer Balakrishnan was last updated on July 26, 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.