AMBIKA BALI (MD) – Gastroenterology Physician, NPI 1427096478
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,981 GASTROENTEROLOGY in CA
Provider Addresses for AMBIKA BALI (MD)
PO BOX 5216
BUENA PARK, CA 906225216
Phone: (714) 999-0909
Fax: (714) 917-7109
Type: Mailing
1211 W LA PALMA AVE STE 409
ANAHEIM, CA 928012806
Phone: (714) 999-0909
Fax: (714) 917-7109
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $663.
Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Janssen Biotech, Inc. ($196).
Total Amount
$663
General + Research + Ownership
Payments
29
Total payment records
General Amount
$663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $196 |
| ABBVIE INC. | $66 |
| QOL Medical, LLC | $64 |
| AIMMUNE THERAPEUTICS, INC. | $55 |
| Takeda Pharmaceuticals U.S.A., Inc. | $48 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060131000929 | I | Gastroenterology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 79 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 33 | 32 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 29 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 90622)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | CA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 22 | 22 |
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