ANITA BALACHANDRAN
NPI 1972762425
Family Medicine in Pittsburgh, PA

Q: What is Anita Balachandran's NPI number?

The NPI number for Anita Balachandran is 1972762425. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Q: What is Anita Balachandran's specialty?

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

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment

90.63/100

CMS Quality Rating

3937 BUTLER ST, PITTSBURGH, PA 15201(412) 622-7343 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Anita Balachandran NPPES

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

ANITA BALACHANDRAN (NPI 1972762425) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD435010) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1972762425

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameANITA BALACHANDRAN

Location Address3937 BUTLER STPittsburgh, PA 15201-3222

Mailing Address2 Hot Metal St, Quantum One Suite 001Pittsburgh, PA 15203-2348

Phone(412) 622-7343

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 9, 2008

Last NPPES UpdateApril 6, 2021

✔ NPI 1972762425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD435010

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.

3937 BUTLER ST, Pittsburgh, PA 15201

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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

Anita Balachandran 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 ID8224180708

PECOS Enrollment IDI20090714000487

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

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

University Of Pittsburgh Physicians

0.6 mi

Pediatrics

4401 PENN AVE
Pittsburgh, PA 15224

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1225096639 (412) 692-5325

Renaissance Family Practice-Upmc,inc

3.9 mi

Cardiovascular Disease

200 DELAFIELD RD, SUITE 3010
Pittsburgh, PA 15215

Reassigned Medicare billing, Pennsylvania enrollment
90 clinicians in this Medicare group

NPI 1639325061 (412) 781-4860

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 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.

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.

53 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

25 services15 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.

16 services16 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.

14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390102

Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15201 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

90.63/100

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

Scored as part of a group practice

Quality

87.33

Promoting Interoperability

100

Improvement Activities

Cost

81.45

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.

DR. NADINE CHAMPSI MD

Student in an Organized Health Care Education/Training Program