ALI BALTAJI – Nephrology Physician, NPI 1912559691

ALI BALTAJI is a healthcare provider. based in Urbana, Illinois. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold a License No. 125074501 (IL). The NPI Number for ALI BALTAJI is 1912559691

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALI BALTAJI
NPI
1912559691
Phone
(217) 518-6382
Address
101 N Busey apt 7
Enumeration Date
12 July 2019
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708435114
Graduation Year
2018 (8 years ago)
PAC ID
6204163645
Group Practice PAC ID
4183654643
Professional Enrollment ID
I20240814003635
Address ID
KY421011778BO720XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

8,828 INTERNAL MEDICINE in IL

Provider Addresses for ALI BALTAJI

  • 101 N Busey apt 7

    Urbana, IL 61801

    Phone: (217) 518-6382

    Type: Location

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 61801

    Phone: (217) 518-6382

    Type: Mailing

  • 101 N BUSEY APT 7

    URBANA, IL 61801

    Phone: (217) 518-6382

    Type: Location

  • 720 2ND AVE STE 203

    BOWLING GREEN, KY 421011778

    Phone: (217) 518-6382

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amgen Inc. ($28).

Total Amount

$91

General + Research + Ownership

Payments

5

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2024-08-14

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
I20240814003635INephrologyKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61801)

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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: 4183654643View full group profile
NameSpecialtyState
Internal Medicine, NephrologyKY
N E P H R O L O G YKY
N E P H R O L O G YOH
Nurse PractitionerKY
Nephrology, Internal MedicineKY

Reviews

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Frequently asked questions

Where can patients find ALI BALTAJI's NPI?
You can confirm ALI BALTAJI with NPI 1912559691; it appears in the national provider directory.
Is ALI BALTAJI currently active in the NPI registry?
CMS-published data lists ALI BALTAJI as an active registrant.
What field does ALI BALTAJI work in?
You can think of ALI BALTAJI as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ALI BALTAJI?
We surface Urbana, Illinois for ALI BALTAJI based on available NPPES addresses.
What if Urbana, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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