DR. PALANIKUMAR BALASUNDARAM MD
NPI 1881180412
Pediatrics in Rockford, IL

Q: What is Palanikumar Balasundaram's NPI number?

The NPI number for Palanikumar Balasundaram is 1881180412. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Q: What is Palanikumar Balasundaram's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 06, 2018PECOS Enrolled

8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-7000 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Mar 10, 2026, Jul 10, 2023 and 2 more (5 updates tracked since 2018).

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About Dr. Palanikumar Balasundaram Md NPPES

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

DR. PALANIKUMAR BALASUNDARAM MD (NPI 1881180412) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (036163854) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1881180412

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PALANIKUMAR BALASUNDARAMCredential: MD

Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 904-4105 · Fax (718) 904-2659

Phone(815) 971-7000

Sole ProprietorNo

Enumeration DateJuly 6, 2018

Last NPPES UpdateApril 13, 20265 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1881180412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036163854

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 036.163854 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8201 E RIVERSIDE BLVD, Rockford, IL 61114

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Secondary Practice Locations 3

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000

Location 21 Brookdale PlzBrooklyn, NY 11212-3198 · Phone (718) 240-5000

Location 3111 E 210th StBronx, NY 10467-2401 · Phone (718) 904-4105 · Fax (718) 904-2659

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Palanikumar Balasundaram Md 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

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

Rockford Health Physicians

Same address

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Mercy Health System Corporation

25 mi

Multi-Specialty

580 N WASHINGTON ST
Janesville, WI 53548

Reassigned Medicare billing, Illinois and Wisconsin enrollments
671 clinicians in this Medicare group

NPI 1598718603 (608) 741-7630

Freeport Regional Health Care Foundation

33 mi

Family Medicine

1036 W STEPHENSON ST
Freeport, IL 61032

Reassigned Medicare billing, Illinois enrollment
391 clinicians in this Medicare group

NPI 1457337016 (815) 599-6000

Freeport Memorial Hospital

34 mi

General Acute Care Hospital

1045 W STEPHENSON ST
Freeport, IL 61032

Reassigned Medicare billing, Illinois enrollment
478 clinicians in this Medicare group

NPI 1447228788 (815) 599-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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