VIDYA NANDINI BALKISHUN (PA-C) – Physician Assistant, NPI 1750432142
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 PHYSICIAN ASSISTANT in DE
Provider Addresses for VIDYA NANDINI BALKISHUN (PA-C)
18947 JOHN J WILLIAMS HWY UNIT 101
REHOBOTH BEACH, DE 199714480
Phone: (302) 645-3770
Fax: (302) 645-5718
Type: Location
3400 Spruce St
3 Ravdin Building, Suite F
Philadelphia, PA 191044206
Phone: (215) 662-3202
Type: Location
1915 White Ave
Knoxville, TN 379162300
Phone: (865) 331-1720
Type: Location
1915 WHITE AVE
KNOXVILLE, TN 379162300
Phone: (865) 331-1720
Type: Mailing
Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
3 RAVDIN BUILDING STE F
PHILADELPHIA, PA 191044206
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($133).
Total Amount
$576
General + Research + Ownership
Payments
13
Total payment records
General Amount
$576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070206000014 | I | Physician Assistant | PA | TBD |
| I20211216002363 | I | Physician Assistant | TN | TBD |
| I20221005001328 | I | Physician Assistant | NY | TBD |
| I20250115000110 | I | Physician Assistant | DE | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 101 | 100 | $0 |
Insurance plans in this area (ZIP 19971)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| Nurse Practitioner | FL | |
| Radiation Oncology | NY | |
| Radiation Oncology | NY | |
| Nephrology, Internal Medicine | NY | |
| - | NY | |
| Internal Medicine | NY | |
| Radiation Oncology | MI | |
| - | NY | |
| Physician Assistant | NY |
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