MS. SUJATA SHANKARAPPA BALULAD (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1952501454

MS. SUJATA SHANKARAPPA BALULAD (M.D.) is a healthcare provider. based in Summerfield, Florida. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 003280 (NY). The NPI Number for MS. SUJATA SHANKARAPPA BALULAD (M.D.) is 1952501454

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUJATA SHANKARAPPA BALULAD (M.D.)
NPI
1952501454
Phone
(352) 478-0010
Address
17154 SE 109th Terrace Rd
Enumeration Date
23 July 2007
Last Update Date
4 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524780010
Graduation Year
2000 (26 years ago)
PAC ID
3375694359
Professional Enrollment ID
I20170731003563
Address ID
FL347883761LE33041DRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:18State licenses:3Digital endpointsOther names

298 CARDIAC ELECTROPHYSIOLOGY in FL

Provider Addresses for MS. SUJATA SHANKARAPPA BALULAD (M.D.)

  • 17154 SE 109th Terrace Rd

    Summerfield, FL 344919017

    Phone: (352) 478-0010

    Fax: (949) 577-4163

    Type: Location

  • 33041 PROFESSIONAL DR STE 101

    LEESBURG, FL 347883761

    Phone: (352) 478-0010

    Fax: (949) 577-4163

    Type: Mailing

  • US Family Health Plan at Brighton Marine, 77, Warren Street, Aberdeen, Allston, Boston, Suffolk County, Massachusetts, 02135, United States

    # 5

    BRIGHTON, MA 021353601

    Phone: (941) 621-4524

    Fax: (844) 664-0166

    Type: Mailing

  • 119, Longwood Avenue, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329552827

    Phone: (321) 632-6963

    Fax: (321) 632-6983

    Type: Location

  • 1501 N US HIGHWAY 441 BLDG 1600

    THE VILLAGES, FL 321598999

    Phone: (352) 478-0010

    Fax: (949) 577-4163

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,866.

Total Amount is formed as General ($1,866) + Research ($0) + Ownership ($0) = $1,866.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boston Scientific Corporation ($748).

Total Amount

$1,866

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170731003563ICardiac ElectrophysiologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2,556509$0
99214Established patient office or other outpatient visit, 30-39 minutes1,607637$0
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)1,39030$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function582557$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes537436$0
View full utilization report →

Insurance plans in this area (ZIP 34491)

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Reviews

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Frequently asked questions

Can I use this page to confirm MS. SUJATA SHANKARAPPA BALULAD (M.D.)'s NPI?
Yes. MS. SUJATA SHANKARAPPA BALULAD (M.D.) is listed with NPI 1952501454 in the public NPI dataset.
Does the file indicate MS. SUJATA SHANKARAPPA BALULAD (M.D.) is practicing under active NPI?
Directory data currently reports MS. SUJATA SHANKARAPPA BALULAD (M.D.) as active.
What taxonomy line describes MS. SUJATA SHANKARAPPA BALULAD (M.D.)?
For research purposes, treat MS. SUJATA SHANKARAPPA BALULAD (M.D.) as Clinical Cardiac Electrophysiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MS. SUJATA SHANKARAPPA BALULAD (M.D.)?
MS. SUJATA SHANKARAPPA BALULAD (M.D.)'s geographic hint is Summerfield, Florida in our summary view.
Why does MS. SUJATA SHANKARAPPA BALULAD (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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