DR. KALAVAGUNTA SAMBASIVA SATISH BALAJI MD
NPI 1902093511
Internal Medicine in Jamaica, NY

Q: What is Kalavagunta Satish Balaji's NPI number?

The NPI number for Kalavagunta Satish Balaji is 1902093511. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Q: What is Kalavagunta Satish Balaji's specialty?

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

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment

84/100

CMS Quality Rating

8268 164TH ST, QUEENS HOSPITAL CENTER, JAMAICA, NY 11432(718) 883-4000 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kalavagunta Sambasiva Satish Balaji Md NPPES

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

DR. KALAVAGUNTA SAMBASIVA SATISH BALAJI MD (NPI 1902093511) is an individual internal medicine provider in Jamaica, New York, licensed in New York (002947) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1902093511

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KALAVAGUNTA SAMBASIVA SATISH BALAJICredential: MD

Location Address8268 164TH ST, QUEENS HOSPITAL CENTERJamaica, NY 11432-1121

Mailing Address8218 164th Pl, First FloorJamaica, NY 11432-1238 · (203) 668-2613

Phone(718) 883-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 27, 2007

✔ NPI 1902093511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 002947

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.

8268 164TH ST, Jamaica, NY 11432

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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. Kalavagunta Sambasiva Satish Balaji Md 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 ID4880762285

PECOS Enrollment IDI20160927001986

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 4

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 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.

356 services117 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.

186 services67 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

62 services60 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.27

Promoting Interoperability

100

Improvement Activities

Cost

57.88

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers24 claims24 services$14.28 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

3 suppliers25 claims25 services$63.53 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.

MRS. NGA HOANG NGUYEN PHARMACIST

Pharmacist

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3889

SHEILA A KERN PA-C

Physician Assistant (Medical)

8268 164TH ST, ROOM A531
JAMAICA, NY 11432

Queens County (718) 883-4133

WHITNEY WU LCSW

Social Worker

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3573

KANWAL RASHID MD

Student in an Organized Health Care Education/Training Program

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-4583

MOAZAMA SHAKEEL AHMED

Student in an Organized Health Care Education/Training Program

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-4583

DR. ANURITA CHATTERJEE MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

MS. SUZANNE J FORRESTER-LOWE PA

Physician Assistant

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

DR. GLENNA B RUBIN PSYD

Psychologist (Clinical Child & Adolescent)

8268 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

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 Kalavagunta Satish Balaji's NPI number?

The NPI number for Kalavagunta Satish Balaji is 1902093511. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Kalavagunta Satish Balaji located?

Kalavagunta Satish Balaji practices at 8268 164th St Queens Hospital Center, Jamaica, NY 11432. The listed phone number is (718) 883-4000.

What is Kalavagunta Satish Balaji's specialty?

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

Is Kalavagunta Satish Balaji enrolled in Medicare?

Yes. Kalavagunta Satish Balaji 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.

When was this NPI record last updated?

The NPPES record for Kalavagunta Satish Balaji was last updated on September 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.