DR. BANTWAL SURESH BALIGA M.D.
NPI 1992847669
Internal Medicine - Endocrinology, Diabetes & Metabolism in Opelika, AL

Q: What is Bantwal Baliga's NPI number?

The NPI number for Bantwal Baliga is 1992847669. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Bantwal Baliga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Bantwal Baliga was last updated on July 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment

3320 SKYWAY DR, SUITE 808, OPELIKA, AL 36801(334) 737-2737(334) 821-1043 Get Directions Write a Review

NPPES record last updated: July 28, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Bantwal Suresh Baliga M.d. NPPES

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

DR. BANTWAL SURESH BALIGA M.D. (NPI 1992847669) is an individual endocrinology, diabetes & metabolism provider in Opelika, Alabama, licensed in Georgia (056680) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1992847669

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. BANTWAL SURESH BALIGACredential: M.D.

Location Address3320 SKYWAY DR, SUITE 808Opelika, AL 36801-7137

Mailing Address3320 Skyway Dr, Suite 808Opelika, AL 36801-7137 · (334) 737-2737 · Fax (334) 821-1043

Phone(334) 737-2737

Fax(334) 821-1043

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 28, 2012

✔ NPI 1992847669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in GA · 056680

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

3320 SKYWAY DR, Opelika, AL 36801

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Other Identifiers 1

Medicare UPINH53393GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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. Bantwal Suresh Baliga 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 ID9638152911

PECOS Enrollment IDI20050921000742, I20080514000695

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 Bantwal Baliga reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Alabama Endocrinology, P.C.

0.1 mi

Specialist

3320 SKYWAY DR, SUITE 808
Opelika, AL 36801

Reassigned Medicare billing, Alabama and Georgia enrollments
6 clinicians in this Medicare group

NPI 1588803811 (334) 737-2737

Chattahoochee Institute For Wellness, Longevity & Weight Management

28 mi

Nutrition, Obesity and Weight Management

110 ENTERPRISE CT STE B
Columbus, GA 31904

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1770366049 (706) 507-0001

Georgia Clinic, PC

111 mi

Multi-Specialty

1861 PEELER RD
Dunwoody, GA 30338

Reassigned Medicare billing, Georgia enrollment
46 clinicians in this Medicare group

NPI 1609816123 (770) 730-5800

Athens Heart Center, PC

149 mi

Cardiovascular Disease

2005 PRINCE AVE
Athens, GA 30606

Reassigned Medicare billing, Georgia enrollment
9 clinicians in this Medicare group

NPI 1447338744 (706) 208-9700

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 19

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.

Injection, testosterone cypionate, 1 mg J1071

Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.

15,150 services12 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

1,219 services208 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

1,178 services212 patients

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.

748 services410 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.

619 services194 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.

389 services282 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

295 services158 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

223 services165 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

202 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

112 services112 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

108 services98 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

94 services93 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

89 services87 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

74 services16 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

60 services59 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

34 services33 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

14 services11 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

13 services12 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110016

Location1514 Vernon RoadLagrange, GA 30240 · Troup County

Emergency services Birthing friendly

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110064

Location710 Center StreetColumbus, GA 31901 · Muscogee County

Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110129

Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

11 suppliers192 claims3,147 services$18.26 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

13 suppliers198 claims6,557 services$2.30 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

4 suppliers44 claims44 services$167.02 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

29 suppliers82 claims276 services$6.32 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers16 claims16 services$2.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers35 claims65 services$1.05 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.

SANDY WHITAKER CRNP

Nurse Practitioner (Psychiatric/Mental Health)

3320 SKYWAY DR, SUITE 801
OPELIKA, AL 36801

Lee County (334) 821-0238

POLLY BLAKE DUNN PH.D.

Psychologist

3320 SKYWAY DR, SUITE 801
OPELIKA, AL 36801

Lee County (334) 742-9102

EAST ALABAMA PSYCHIATRIC

Psychiatry & Neurology (Psychiatry)

3320 SKYWAY DR, SUITE 801
OPELIKA, AL 36801

Lee County (334) 749-3411

MRS. MELISSA ROGERS WHEELES CRNP

Nurse Practitioner (Family)

3320 SKYWAY DR
OPELIKA, AL 36801

Lee County (334) 826-5577

EAST ALABAMA ENDOCRINOLOGY, P.C.

Specialist

3320 SKYWAY DR, SUITE 808
OPELIKA, AL 36801

Lee County (334) 737-2737

AMEDISYS ALABAMA, LLC

Home Health

3320 SKYWAY DR, SUITE 804
OPELIKA, AL 36801

Lee County (334) 887-7234

S&L GROUP INC.

In Home Supportive Care

3320 SKYWAY DR, SUITE 806
OPELIKA, AL 36801

Lee County (334) 203-1850

DR. DAVID LARRY ESTEP JR. M.D.

Psychiatry & Neurology (Psychiatry)

3320 SKYWAY DR, SUITE 801
OPELIKA, AL 36801

Lee County (334) 821-0238

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 Bantwal Baliga's NPI number?

The NPI number for Bantwal Baliga is 1992847669. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Bantwal Baliga located?

Bantwal Baliga practices at 3320 Skyway Dr Suite 808, Opelika, AL 36801. The listed phone number is (334) 737-2737.

What is Bantwal Baliga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Bantwal Baliga enrolled in Medicare?

Yes. Bantwal Baliga 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 Bantwal Baliga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bantwal Baliga reassigns Medicare benefits to 4 organizations: East Alabama Endocrinology, P.C. (Opelika, AL), Chattahoochee Institute For Wellness, Longevity & Weight Management (Columbus, GA), Georgia Clinic, PC (Dunwoody, GA) and Athens Heart Center, PC (Athens, GA). 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 Bantwal Baliga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bantwal Baliga accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Bantwal Baliga 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 Bantwal Baliga affiliated with any hospitals?

According to CMS data, Bantwal Baliga is affiliated with Wellstar West Georgia Medical Center, Piedmont Columbus Regional Midtown and St Francis Hospital- Emory Healthcare.

When was this NPI record last updated?

The NPPES record for Bantwal Baliga was last updated on July 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.