DR. BALAJI KRISHNAIAH M. D.,
NPI 1770825283
Psychiatry & Neurology - Neurology in Memphis, TN

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
81.46/100
CMS Quality Rating
1325 EASTMORELAND AVE STE 101, MEMPHIS, TN 38104(901) 758-7888(901) 758-7888 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2025, Feb 25, 2025, Oct 8, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Balaji Krishnaiah M. D., NPPES

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

DR. BALAJI KRISHNAIAH M. D., (NPI 1770825283) is an individual neurology provider in Memphis, Tennessee, licensed in Tennessee (57144) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Pennsylvania State University College Of Medicine (2010).

NPPES Registry Identity

NPI1770825283
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BALAJI KRISHNAIAHCredential: M. D.,
Location Address1325 EASTMORELAND AVE STE 101Memphis, TN 38104-3507
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Fax(901) 758-7888
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2010
Enumeration DateMarch 22, 2013
Last NPPES UpdateJuly 15, 20255 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1770825283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TN · 57144
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1325 EASTMORELAND AVE STE 101, Memphis, TN 38104

Other Identifiers 2

Medicaid1770825283MO
MedicaidQ036065TN

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

Dr. Balaji Krishnaiah M. D., 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 ID1658652656
PECOS Enrollment IDI20180723001262
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.

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.
59 services58 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.
54 services43 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.
20 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

81.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.58
Promoting Interoperability100
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 10

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Physician Assistant
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1325 EASTMORELAND AVE STE 101
MEMPHIS, TN 38104

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 Balaji Krishnaiah's NPI number?

The NPI number for Balaji Krishnaiah is 1770825283. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Balaji Krishnaiah located?

Balaji Krishnaiah practices at 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104. The listed phone number is (901) 758-7888.

What is Balaji Krishnaiah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Balaji Krishnaiah enrolled in Medicare?

Yes. Balaji Krishnaiah 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 Balaji Krishnaiah accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Balaji Krishnaiah 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 Balaji Krishnaiah affiliated with any hospitals?

According to CMS data, Balaji Krishnaiah is affiliated with Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Balaji Krishnaiah was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.