DR. RADHAKRISHNAN BALAKRISHNAN M.D.
NPI 1851377139
Internal Medicine - Nephrology in Glendale, AZ

Q: What is Radhakrishnan Balakrishnan's NPI number?

The NPI number for Radhakrishnan Balakrishnan is 1851377139. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Radhakrishnan Balakrishnan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment

18699 N 67TH AVE, SUITE 280, GLENDALE, AZ 85308(623) 240-4277(623) 566-0263 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2018, Feb 5, 2016 (2 updates tracked since 2016).

On this page

About Dr. Radhakrishnan Balakrishnan M.d. NPPES

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

DR. RADHAKRISHNAN BALAKRISHNAN M.D. (NPI 1851377139) is an individual nephrology provider in Glendale, Arizona, licensed in Arizona (34114) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1851377139

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. RADHAKRISHNAN BALAKRISHNANCredential: M.D.

Location Address18699 N 67TH AVE, SUITE 280Glendale, AZ 85308-7140

Mailing Address6622 N 91st Ave, Ste 220Glendale, AZ 85305-2569 · (602) 759-6883 · Fax (602) 224-3358

Phone(623) 240-4277

Fax(623) 566-0263

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateDecember 19, 2005

Last NPPES UpdateJune 26, 20182 updates tracked since enumeration

✔ NPI 1851377139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in AZ · 34114

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

18699 N 67TH AVE, Glendale, AZ 85308

Open in Google Maps ↗

Other Identifiers 1

Medicaid955768AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., UnitedHealthcare.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. Radhakrishnan Balakrishnan 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 ID5597707356

PECOS Enrollment IDI20050629000396

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 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.

Injection, epoetin alfa, (for non-esrd use), 1000 units J0885

Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.

790 services11 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.

454 services162 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.

306 services130 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

91 services23 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.

81 services77 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.

74 services33 patients

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.

44 services41 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

42 services19 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.

33 services27 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

25 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims585 services$0.32 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers16 claims2,400 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers24 claims2,880 services$0.19 avg. paid by Medicare

Everolimus, oral, 0.25 mg J7527

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier24 claims1,800 services$4.10 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers24 claims24 services$17.37 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers58 claims58 services$12.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 12

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

ANGELA JANE MCBRIDE PA-C

Physician Assistant

18699 N 67TH AVE
GLENDALE, AZ 85308

Maricopa County (623) 935-5522

WILLIAM H CASTRO MD PC

Obstetrics & Gynecology (Gynecology)

18699 N 67TH AVE, STE 320
GLENDALE, AZ 85308

Maricopa County (623) 412-3100

BRADLEY JOHN FOLKESTAD MD

Obstetrics & Gynecology

18699 N 67TH AVE, STE 320
GLENDALE, AZ 85308

Maricopa County (623) 561-7250

ARIZONA PERINATAL CARE CENTERS, LLC

Obstetrics & Gynecology (Maternal & Fetal Medicine)

18699 N 67TH AVE, SUITE 310
GLENDALE, AZ 85308

Maricopa County (623) 362-2266

DR. MIRIAM GISELA VILLANUEVA SCHWAN MD

Pediatrics

18699 N 67TH AVE, SUITE 240
GLENDALE, AZ 85308

Maricopa County (623) 594-7337

NEW BEGINNINGS PEDIATRICS, PLC

Pediatrics

18699 N 67TH AVE, 240
GLENDALE, AZ 85308

Maricopa County (623) 594-7337

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Orthopaedic Surgery

18699 N 67TH AVE, STE 210
GLENDALE, AZ 85308

Maricopa County (602) 772-3800

ROBERT L JOHNSON M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

18699 N 67TH AVE, SUITE 310
GLENDALE, AZ 85308

Maricopa County (623) 362-2266

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 Radhakrishnan Balakrishnan's NPI number?

The NPI number for Radhakrishnan Balakrishnan is 1851377139. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Radhakrishnan Balakrishnan located?

Radhakrishnan Balakrishnan practices at 18699 N 67th Ave Suite 280, Glendale, AZ 85308. The listed phone number is (623) 240-4277.

What is Radhakrishnan Balakrishnan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Radhakrishnan Balakrishnan enrolled in Medicare?

Yes. Radhakrishnan Balakrishnan 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 Radhakrishnan Balakrishnan accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Radhakrishnan 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 Radhakrishnan Balakrishnan was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.