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

Q: 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.

Q: 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.

Q: 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 15 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.

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: October 18, 2026.

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

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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 maintains 4 additional practice locations.

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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Secondary Practice Locations 4

Location 11235 E Cherokee StSpringfield, MO 65804 · Phone (417) 820-3344

Location 211109 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 672-6637 · Fax (260) 458-5355

Location 3375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 865-2246

Location 41 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 757-2927 · Fax (859) 341-0203

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

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

Trihealth H LLC

0.1 mi

Pulmonary Disease

10496 MONTGOMERY RD
Cincinnati, OH 45242

Reassigned Medicare billing, Ohio enrollment
1,102 clinicians in this Medicare group

NPI 1548695638 (513) 793-2654

The Christ Hospital Cardiovascular Associates LLC

13 mi

Cardiovascular Disease

2139 AUBURN AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
154 clinicians in this Medicare group

NPI 1497901458 (513) 721-8881

Summit Medical Group, Inc.

16 mi

Urgent Care

2626 ALEXANDRIA PIKE
Highland Heights, KY 41076

Reassigned Medicare billing, Kentucky enrollment
946 clinicians in this Medicare group

NPI 1881026169 (859) 757-0434

Kettering Independent Medical Group Inc

27 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
984 clinicians in this Medicare group

NPI 1629387865 (937) 762-1629

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 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 4

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

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361332

Location1275 North High StreetHillsboro, OH 45133 · Highland County

Emergency services

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.

Which organizations bill Medicare for Vikram Balakumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikram Balakumar reassigns Medicare benefits to 4 organizations: Trihealth H LLC (Cincinnati, OH), The Christ Hospital Cardiovascular Associates LLC (Cincinnati, OH), Summit Medical Group, Inc. (Highland Heights, KY) and Kettering Independent Medical Group Inc (Miamisburg, OH). 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 Vikram Balakumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikram Balakumar accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, 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, Bethesda North and Highland District Hospital.

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 15 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.