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DR. BALAMURUGAN PONNIAH SANKARAPANDIAN M.D.
NPI 1881816437
Internal Medicine - Nephrology in Fort Worth, TX

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
1001 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 877-5858(817) 335-4418 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Dec 2, 2019 (2 updates tracked since 2019).

About Dr. Balamurugan Ponniah Sankarapandian M.d. NPPES

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

DR. BALAMURUGAN PONNIAH SANKARAPANDIAN M.D. (NPI 1881816437) is an individual nephrology provider in Fort Worth, Texas, licensed in Texas (N4721) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1881816437
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BALAMURUGAN PONNIAH SANKARAPANDIANCredential: M.D.
Location Address1001 PENNSYLVANIA AVEFort Worth, TX 76104-2228
Mailing Address1000 W Cannon StFort Worth, TX 76104-3029 · (817) 877-5858 · Fax (817) 335-4418
Phone(817) 877-5858
Fax(817) 335-4418
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1881816437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · N4721
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License N4721 (TX)
1001 PENNSYLVANIA AVE, Fort Worth, TX 76104
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Other Identifiers 2

Medicaid205450401TX
Other8U1257TX · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Balamurugan Ponniah Sankarapandian 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 ID1658425244
PECOS Enrollment IDI20090817000366
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 8

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 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.
737 services194 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
160 services124 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.
132 services38 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.
66 services14 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.
52 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
29 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670085
Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County
Emergency services Birthing friendly

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%48 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers20 claims20 services$58.88 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers61 claims8,340 services$0.29 avg. paid by Medicare
Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg J7508
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier19 claims14,700 services$0.40 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims4,050 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers55 claims8,520 services$0.97 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
6 suppliers77 claims77 services$17.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MACHAIAH M MADHRIRA MD
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
PYKAYIA NIKOLE ACOSTA AGACNP
Nurse Practitioner (Acute Care)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
DR. AVINASH VALLURUPALLI DO
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
MEERA BHUPENDRAKUMAR PATEL PA
Physician Assistant
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
PULMCARE, LLC
Internal Medicine (Pulmonary Disease)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (312) 731-8335
CHRYS A PASCHALL NP
Nurse Practitioner (Acute Care)
1001 PENNSYLVANIA AVE
FT WORTH, TX 76104
Tarrant County (817) 725-7900
DR. PONNIAH S SANKARAPANDIAN MD
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
MS. MELISSA DENNY
Physician Assistant
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858

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 Balamurugan Sankarapandian's NPI number?

The NPI number for Balamurugan Sankarapandian is 1881816437. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Balamurugan Sankarapandian located?

Balamurugan Sankarapandian practices at 1001 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 877-5858.

What is Balamurugan Sankarapandian's specialty?

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

Is Balamurugan Sankarapandian enrolled in Medicare?

Yes. Balamurugan Sankarapandian 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 Balamurugan Sankarapandian accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Balamurugan Sankarapandian 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 Balamurugan Sankarapandian affiliated with any hospitals?

According to CMS data, Balamurugan Sankarapandian is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, Medical City Fort Worth, Texas Health Harris Methodist Hospital Alliance and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Balamurugan Sankarapandian was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.