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VIKRAM BALAKUMAR M.D.
NPI 1770924243
Internal Medicine - Critical Care Medicine in Montgomery, OH

Active since July 12, 2013PECOS EnrolledAccepts Medicare Assignment
10500 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-2246(513) 865-5552 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Jun 22, 2023, Mar 23, 2023 and 2 more (5 updates tracked since 2018).

About Vikram Balakumar M.d. NPPES

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

VIKRAM BALAKUMAR M.D. (NPI 1770924243) is an individual critical care medicine provider in Montgomery, Ohio, licensed in Ohio (35.147781) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1770924243
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameVIKRAM BALAKUMARCredential: M.D.
Location Address10500 MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address10500 Montgomery RdMontgomery, OH 45242-4402 · (513) 865-2246 · Fax (513) 865-5552
Phone(513) 865-2246
Fax(513) 865-5552
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 12, 2013
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1770924243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in OH · 35.147781✔ Licensed in KY · 60872✔ Licensed in IN · 01088536A✔ Licensed in MO · 2017031726
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10500 MONTGOMERY RD, Montgomery, OH 45242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Medica and more.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

Vikram Balakumar 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 ID6406073741
PECOS Enrollment IDI20230705003192, I20250714003598
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 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.
142 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
125 services71 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.
28 services19 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.
17 services16 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

DRAKE A SECCURRO MD
Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
GREGORIO MICELI DPM
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
BENJAMIN BETHAY
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
SMITH BEARELLY MD
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 865-2246
VICTOR KOMLA DOE
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1184
REGENCY HOSPITAL OF CINCINNATI, LLC
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (717) 972-1100
SYED SHAD MAHMOOD
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
DAVID A. FENWICK P.A.-C
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (514) 865-1111

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 Vikram Balakumar's NPI number?

The NPI number for Vikram Balakumar is 1770924243. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Vikram Balakumar located?

Vikram Balakumar practices at 10500 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-2246.

What is Vikram Balakumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Vikram Balakumar enrolled in Medicare?

Yes. Vikram Balakumar 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 Vikram Balakumar accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Medica, Molina Healthcare and Oscar Health Insurance list Vikram Balakumar 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 Vikram Balakumar affiliated with any hospitals?

According to CMS data, Vikram Balakumar is affiliated with St Elizabeth Edgewood, Kettering Health Main Campus and Bethesda North.

When was this NPI record last updated?

The NPPES record for Vikram Balakumar was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.