VIVEK BALUJA (M.D.) – Pediatric Neurodevelopmental Disabilities Physician, NPI 1538205539
Pediatric Neurodevelopmental Disabilities Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
964 NEUROLOGY in MI
Loading map...
Provider Addresses for VIVEK BALUJA (M.D.)
9110 COLLEGE POINTE CT # MC845
FORT MYERS, FL 339193244
Phone: (239) 208-2212
Type: Mailing
35, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 3003
GRAND RAPIDS, MI 495032514
Phone: (616) 267-2500
Fax: (616) 267-2501
Type: Location
9110 College Pointe Ct
Fort Myers, FL 339193244
Phone: (239) 208-2212
Fax: (239) 208-3994
Type: Location
1701 E 23rd Ave
Hutchinson, KS 675029907
Phone: (620) 665-2000
Fax: (620) 513-3811
Type: Location
2801 N Gantenbein Ave
Portland, OR 972271623
Phone: (503) 413-8407
Type: Location
2214 Canterbury Dr Ste 202
Hays, KS 676012375
Phone: (785) 623-2312
Type: Location
210 Medical Pavilion Dr
Raeford, NC 283769111
Phone: (910) 904-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
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 |
|---|---|---|---|---|
| I20131028001256 | I | Neurology | MI | TBD |
| I20190918001506 | I | Neurology | WA | TBD |
| I20200312000288 | I | Neurology | TX | TBD |
| I20200609003008 | I | Neurology | SC | TBD |
| I20200616003015 | I | Neurology | IA | TBD |
| I20201015001088 | I | Neurology | GA | TBD |
| I20240207002764 | I | Neurology | IN | TBD |
| I20240214000206 | I | Neurology | KY | TBD |
| I20240404003243 | I | Neurology | NE | TBD |
| I20240723000994 | I | Neurology | NC | TBD |
| I20241002002615 | I | Neurology | KS | TBD |
| I20241011000135 | I | Neurology | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33919)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Hospitalist, Internal Medicine | IN | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.