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DR. HARIKA BALAGONI M.D
NPI 1952783557
Internal Medicine - Gastroenterology in Austin, TX

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
5339 N IH 35 STE 100, AUSTIN, TX 78723(512) 978-8130 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2026, Jul 13, 2026, Jun 1, 2026 and 1 more (4 updates tracked since 2021).

About Dr. Harika Balagoni M.d NPPES

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

DR. HARIKA BALAGONI M.D (NPI 1952783557) is an individual gastroenterology provider in Austin, Texas, licensed in Texas (W5733) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1952783557
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HARIKA BALAGONICredential: M.D
Location Address5339 N IH 35 STE 100Austin, TX 78723-2558
Mailing Address1111 E Cesar Chavez StAustin, TX 78702-4209 · (512) 978-8130
Phone(512) 978-8130
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2015
Last NPPES UpdateJuly 26, 20264 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
✔ NPI 1952783557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · W5733
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5339 N IH 35 STE 100, Austin, TX 78723
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Harika Balagoni 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 ID1951705615
PECOS Enrollment IDI20210803002980
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Harika Balagoni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Travis County Healthcare District
4.3 mi
Internal Medicine
1111 E CESAR CHAVEZ ST
Austin, TX 78702
  • Reassigned Medicare billing, Texas enrollment
  • 79 clinicians in this Medicare group
NPI 1972271831 (512) 978-9288
Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
1,004 mi
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1841278637 (Wisconsin)
  • 1,003 clinicians in this Medicare group
NPI 1629056049 (608) 392-3861

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
195 services193 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
150 services144 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
54 services54 patients
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.
31 services24 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
19 services19 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES 19

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

VALERIE MACLAURIN APRN, CPNP-AC/PC
Nurse Practitioner (Pediatrics)
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 628-1898
DIANE RAINOSEK NP
Nurse Practitioner
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 324-1000
MEERA SUBASH M.D.
Internal Medicine (Rheumatology)
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 978-8130
ZACKARY WHITLEY MSN, AGACNP-BC
Nurse Practitioner (Acute Care)
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 978-8130
DR. MICHELLE LUBETZKY MD
Internal Medicine (Nephrology)
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 978-8130
JENNIFER LEIGH MURRAY APRN, CNS, CPNP
Nurse Practitioner (Pediatrics)
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (323) 356-0144
DEEPAK AGRAWAL MD
Internal Medicine (Gastroenterology)
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 978-8130
JASNEET RIAR MD
Internal Medicine
5339 N IH 35 STE 100
AUSTIN, TX 78723
Travis County (512) 978-8130

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 Harika Balagoni's NPI number?

The NPI number for Harika Balagoni is 1952783557. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Harika Balagoni located?

Harika Balagoni practices at 5339 N Ih 35 Ste 100, Austin, TX 78723. The listed phone number is (512) 978-8130.

What is Harika Balagoni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Harika Balagoni enrolled in Medicare?

Yes. Harika Balagoni 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.

Which organizations bill Medicare for Harika Balagoni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harika Balagoni reassigns Medicare benefits to 2 organizations: Travis County Healthcare District (Austin, TX) and Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harika Balagoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harika Balagoni accept?

Health plans from Sendero Health Plans, Local Nonprofit list Harika Balagoni 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 Harika Balagoni affiliated with any hospitals?

According to CMS data, Harika Balagoni is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Harika Balagoni was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.