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BALASUKANYA BALARAMAN MD
NPI 1891815270
Family Medicine in Clifton Park, NY

Active since March 30, 2007PECOS Enrolled
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065(518) 373-4500 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Dec 11, 2019 (2 updates tracked since 2019).

About Balasukanya Balaraman Md NPPES

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

BALASUKANYA BALARAMAN MD (NPI 1891815270) is an individual family medicine provider in Clifton Park, New York, licensed in New York (266285) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Fishkill.

NPPES Registry Identity

NPI1891815270
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBALASUKANYA BALARAMANCredential: MD
Location Address1 TALLOW WOOD DRClifton Park, NY 12065-2807
Mailing AddressPo Box 7247-6822Philadelphia, PA 19170-0001 · (914) 241-1050 · Fax (914) 242-1516
Phone(518) 373-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1891815270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 266285
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 TALLOW WOOD DR, Clifton Park, NY 12065
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Secondary Practice Location 1

Location 1600 Westage Business Ctr DrFishkill, NY 12524-2281 · Phone (845) 231-5600 · Fax (845) 231-5489

Other Identifiers 1

Medicaid03496522NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balasukanya Balaraman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840344115
PECOS Enrollment IDI20121025000056
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 6

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 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.
539 services249 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.
179 services179 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
21 services20 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.
20 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330406
Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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 suppliers15 claims27 services$5.37 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$12.06 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$13.26 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$152.82 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 20

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

STEVEN J BALSAMO DO
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
ERIN KATHRYN STUDENT NP
Nurse Practitioner (Family)
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
MATTHEW CUNNINGHAM MD
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
WILLIAM RAYMOND FIELDING P.A.
Physician Assistant
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
NEEMA R. AFEJUKU-ADELAJA M.D.
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
BERNICE MCLELLAN CNM
Advanced Practice Midwife
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4555
HOLLY DENISE PAYNE M.D.
Pediatrics
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295
SETON HEALTH SYSTEM
General Acute Care Hospital
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295

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 Balasukanya Balaraman's NPI number?

The NPI number for Balasukanya Balaraman is 1891815270. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Balasukanya Balaraman located?

Balasukanya Balaraman practices at 1 Tallow Wood Dr, Clifton Park, NY 12065. The listed phone number is (518) 373-4500.

What is Balasukanya Balaraman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Balasukanya Balaraman enrolled in Medicare?

Yes. Balasukanya Balaraman is registered in the Medicare PECOS enrollment system.

Is Balasukanya Balaraman affiliated with any hospitals?

According to CMS data, Balasukanya Balaraman is affiliated with St Peter's Hospital, Ellis Hospital, Samaritan Hospital Of Troy, New York and Sunnyview Hospital And Rehabilitation Center.

When was this NPI record last updated?

The NPPES record for Balasukanya Balaraman was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.