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

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: July 26, 2026.

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
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

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
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

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.

Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432

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 with the weekly NPPES data releases published by CMS.