BALASUBRAMANYAM KRISHNIAH M.D.
NPI 1891724951
Internal Medicine in Mauldin, SC

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
300 W BUTLER RD, MAULDIN, SC 29662(864) 277-8300(864) 288-8722 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Balasubramanyam Krishniah M.d. NPPES

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

BALASUBRAMANYAM KRISHNIAH M.D. (NPI 1891724951) is an individual internal medicine provider in Mauldin, South Carolina, licensed in South Carolina (19652) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1891724951
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBALASUBRAMANYAM KRISHNIAHCredential: M.D.
Location Address300 W BUTLER RDMauldin, SC 29662-2538
Mailing Address300 W Butler RdMauldin, SC 29662-2538 · (864) 277-8300 · Fax (864) 288-8722
Fax(864) 288-8722
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 1, 2006
Last NPPES UpdateMay 13, 2013
NPI 1891724951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 19652
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

300 W BUTLER RD, Mauldin, SC 29662

Other Identifiers 3

Medicare UPING61634SC
Medicaid196521SC
Medicare PIN7761SC

Accepted 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

Balasubramanyam Krishniah 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 ID1254236276
PECOS Enrollment IDI20031203000569
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 30

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
856 services261 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
431 services171 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.
144 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
124 services124 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
123 services123 patients
Influenza vaccine, quadrivalent derived from cell cultures 90756
The quadrivalent influenza vaccine, derived from cell cultures, is a flu shot that protects against four different flu viruses. It's made in labs using cell cultures instead of eggs, making it a good option for those with egg allergies. It's a crucial tool in preventing the flu.
102 services102 patients

Hospital Affiliations CMS Care Compare 3

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29662 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims27 services$5.63 avg. paid by Medicare
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
1 supplier18 claims18 services$62.04 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 10

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

Internal Medicine
300 W BUTLER RD
MAULDIN, SC 29662
Counselor (Professional)
300 W BUTLER RD, SUITE B
MAULDIN, SC 29662
In Home Supportive Care
300 W BUTLER RD, SUITE B
MAULDIN, SC 29662
Home Health
300 W BUTLER RD, SUITE B
MAULDIN, SC 29662
Pharmacy
300 W BUTLER RD, SUITE A
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662

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 Balasubramanyam Krishniah's NPI number?

The NPI number for Balasubramanyam Krishniah is 1891724951. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Balasubramanyam Krishniah located?

Balasubramanyam Krishniah practices at 300 W Butler Rd, Mauldin, SC 29662. The listed phone number is (864) 277-8300.

What is Balasubramanyam Krishniah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Balasubramanyam Krishniah enrolled in Medicare?

Yes. Balasubramanyam Krishniah 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 Balasubramanyam Krishniah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Balasubramanyam Krishniah 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 Balasubramanyam Krishniah affiliated with any hospitals?

According to CMS data, Balasubramanyam Krishniah is affiliated with St Francis-Downtown, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for Balasubramanyam Krishniah was last updated on May 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.