PADMAJA BALAJI MD
NPI 1982903381
Family Medicine in Alexandria, VA

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
6355 WALKER LN STE 500, ALEXANDRIA, VA 22310(703) 797-6970(703) 922-3479 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2022, Oct 15, 2020, Sep 21, 2020 (3 updates tracked since 2020).

About Padmaja Balaji Md NPPES

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

PADMAJA BALAJI MD (NPI 1982903381) is an individual family medicine provider in Alexandria, Virginia, licensed in Virginia (0101256818) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1982903381
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePADMAJA BALAJICredential: MD
Location Address6355 WALKER LN STE 500Alexandria, VA 22310-3251
Mailing Address6355 Walker Ln Ste 500Alexandria, VA 22310-3251 · (703) 797-6970 · Fax (703) 922-3479
Fax(703) 922-3479
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 24, 2011
Last NPPES UpdateNovember 7, 20223 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1982903381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101256818
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101256818 (VA)
6355 WALKER LN STE 500, Alexandria, VA 22310

Accepted 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

Padmaja 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 ID9638390784
PECOS Enrollment IDI20141015000792, I20150318000475
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

3

Medicare enrollment records show Padmaja Balaji reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
8348 TRAFORD LN STE 100
Springfield, VA 22152
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1588717755 (Virginia)
  • 160 clinicians in this Medicare group
Urgent Care
180 MAPLE AVE W
Vienna, VA 22180
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 146 clinicians in this Medicare group
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group

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 7

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.
514 services238 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
139 services22 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.
82 services82 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.
78 services62 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22310 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers21 claims50 services$6.78 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 10

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

Family Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Family Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Family Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Internal Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Family Medicine (Sports Medicine)
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Internal Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Internal Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310
Family Medicine
6355 WALKER LN STE 500
ALEXANDRIA, VA 22310

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 Padmaja Balaji's NPI number?

The NPI number for Padmaja Balaji is 1982903381. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Padmaja Balaji located?

Padmaja Balaji practices at 6355 Walker Ln Ste 500, Alexandria, VA 22310. The listed phone number is (703) 797-6970.

What is Padmaja Balaji's specialty?

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

Is Padmaja Balaji enrolled in Medicare?

Yes. Padmaja 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.

Which organizations bill Medicare for Padmaja Balaji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Padmaja Balaji reassigns Medicare benefits to 3 organizations: Inova Health Care Services (Springfield, VA), Inova Ucc LLC (Vienna, VA) and Inova Physician Partners, LLC (Chantilly, VA). 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 Padmaja Balaji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Padmaja Balaji accept?

Health plans from Oscar Health list Padmaja Balaji 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 Padmaja Balaji affiliated with any hospitals?

According to CMS data, Padmaja Balaji is affiliated with Inova Alexandria Hospital, Inova Fairfax Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Padmaja Balaji was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.