PRAKASH BALAN (M.D.) – Interventional Cardiology Physician, NPI 1285830661

PRAKASH BALAN (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 279809 (AZ). The NPI Number for PRAKASH BALAN (M.D.) is 1285830661

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
PRAKASH BALAN (M.D.)
NPI
1285830661
Phone
(312) 563-2875
Address
1700 W VAN BUREN ST
Enumeration Date
22 June 2007
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4806995536
Graduation Year
2004 (22 years ago)
PAC ID
7113011644
Group Practice PAC ID
3274764816
Professional Enrollment ID
I20210511002916
Address ID
AZ852861598CH2100XDRXX400
Telehealth
Yes

Contacts

Secure Messaging
prakashbalan@direct.utphysicians.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:18State licenses:1Other names

216 INTERVENTIONAL CARDIOLOGY in AZ

Provider Addresses for PRAKASH BALAN (M.D.)

  • Rush-Presbyterian St Lukes Medical Center, 1700-1710, West Van Buren Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60612, United States

    SUITE 500

    CHICAGO, IL 606123218

    Phone: (312) 563-2875

    Fax: (312) 942-3012

    Type: Mailing

  • 2100 E YEAGER DR

    CHANDLER, AZ 852861598

    Phone: (480) 699-5536

    Fax: (480) 699-9283

    Type: Location

  • 3011 S Lindsay Rd Ste 105

    Gilbert, AZ 852954333

    Phone: (480) 699-5536

    Fax: (480) 699-9283

    Type: Location

  • 895 S Dobson Rd Ste 1

    Chandler, AZ 852245721

    Phone: (480) 699-5536

    Fax: (480) 699-9283

    Type: Location

  • 2487 S GILBERT RD STE 106-486

    GILBERT, AZ 852958899

    Phone: (480) 699-5536

    Fax: (480) 699-9283

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $2,325.

Total Amount is formed as General ($2,325) + Research ($0) + Ownership ($0) = $2,325.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($349).

Total Amount

$2,325

General + Research + Ownership

Payments

69

Total payment records

General Amount

$2,325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-05-11

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
I20210511002916IInterventional CardiologyAZTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes409348$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report162158$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15783$0
99204New patient office or other outpatient visit, 45-59 minutes9090$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9081$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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Provider's Procedures

PRAKASH BALAN (M.D.) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2115

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274764816View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology)AZ
Interventional Cardiology, Internal MedicineAZ
Interventional Cardiology, Cardiovascular Disease (Cardiology)AZ

Reviews

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Frequently asked questions

What number should I use to identify PRAKASH BALAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1285830661 for PRAKASH BALAN (M.D.).
Does the public listing show PRAKASH BALAN (M.D.) as active?
PRAKASH BALAN (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say PRAKASH BALAN (M.D.) does?
Insurance directories may phrase it differently, but here PRAKASH BALAN (M.D.) maps to Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PRAKASH BALAN (M.D.)?
PRAKASH BALAN (M.D.) is associated with Chicago, Illinois in the same public data insurers reference.
Can I export PRAKASH BALAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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