DR. PADMAPRIYA BALAKRISHNA (M.D.) – Internal Medicine Physician, NPI 1295709251

DR. PADMAPRIYA BALAKRISHNA (M.D.) is a healthcare provider. based in Prospect, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 37367 (KY). The NPI Number for DR. PADMAPRIYA BALAKRISHNA (M.D.) is 1295709251

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PADMAPRIYA BALAKRISHNA (M.D.)
NPI
1295709251
Phone
(502) 587-0521
Address
5516 MERRIBROOK LN
Enumeration Date
15 February 2006
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5022671480
Graduation Year
2000 (26 years ago)
PAC ID
0143317578
Group Practice PAC ID
1254671464
Professional Enrollment ID
I20100720000143
Address ID
KY402995496LO12613RDXX302

Contacts

Main Contact
LOUISVILLE
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,216 INTERNAL MEDICINE in KY

Provider Addresses for DR. PADMAPRIYA BALAKRISHNA (M.D.)

  • 5516 MERRIBROOK LN

    PROSPECT, KY 400597622

    Phone: (502) 587-0521

    Fax: (502) 587-3887

    Type: Mailing

  • 9517 US HIGHWAY 42

    PROSPECT, KY 400599237

    Phone: (502) 587-0521

    Fax: (502) 587-3887

    Type: Mailing

  • 9517 US HIGHWAY 42 STE 410

    PROSPECT, KY 400599237

    Phone: (502) 587-0521

    Fax: (502) 587-3887

    Type: Location

  • Jewish Hospital Doctors Office Building, 250, East Liberty Street, Louisville, Jefferson County, Kentucky, 40202, United States

    SUITE 410

    LOUISVILLE, KY 402021530

    Phone: (502) 587-0521

    Fax: (502) 587-3887

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$304

General + Research + Ownership

Payments

16

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2010-07-20

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
I20100720000143IInternal MedicineKYTBD

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
36415Insertion of needle into vein for collection of blood sample10867$0
90662Influenza vaccine split virus, preservative free5959$0
G0008Administration of influenza virus vaccine5959$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5038$0
83036Hemoglobin a1c level3324$0
View full utilization report →

Insurance plans in this area (ZIP 40059)

Loading plans...

Provider's Procedures

DR. PADMAPRIYA BALAKRISHNA (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY83036Hemoglobin A1C level6945
INTERNAL MEDICINEKY90670Pneumococcal vaccine for injection into muscle1818

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: 1254671464View full group profile
NameSpecialtyState
-KY
Orthopedic SurgeryKY
-TX
Occupational Therapist In Private PracticeKY
Sports MedicineIL
-KY
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKY

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.

Frequently asked questions

Can I use this page to confirm DR. PADMAPRIYA BALAKRISHNA (M.D.)'s NPI?
Yes. DR. PADMAPRIYA BALAKRISHNA (M.D.) is listed with NPI 1295709251 in the public NPI dataset.
Does CMS list DR. PADMAPRIYA BALAKRISHNA (M.D.) as active?
Yes — DR. PADMAPRIYA BALAKRISHNA (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. PADMAPRIYA BALAKRISHNA (M.D.) hold?
Scheduling teams often label DR. PADMAPRIYA BALAKRISHNA (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. PADMAPRIYA BALAKRISHNA (M.D.) based?
DR. PADMAPRIYA BALAKRISHNA (M.D.) is tied to Prospect, Kentucky in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

REEM HAMAD (MD)

Internal Medicine Physician
Box Car Way, Louisville, Jefferson County, Kentucky, 40272, United States
NPI: 1215933080

BEYLA J ZUBERI (MD)

Hospitalist Physician
10727 WORTHINGTON LN
NPI: 1861492373

JOHN L III SNELL (DO)

Internal Medicine Physician
Dutchmans Lane, Louisville, Jefferson County, Kentucky, 40218, United States
NPI: 1275528739

DR. AHMAD NAWEED NASRATY (M.D.)

Internal Medicine Physician
Prospect Farm Road, Silver Spring, Saint Mary, Middlesex County, Jamaica
NPI: 1588637623

Ciliberti, Wijangco & Bosler, PSC

Internal Medicine Physician
9517 US HIGHWAY 42
NPI: 1407820533

DR. JAMES WILLIAM III BOSLER (MD)

Internal Medicine Physician
9517 US HIGHWAY 42
NPI: 1932173887

DR. JEFFREY T OMER (MD)

Internal Medicine Physician
9517 US HIGHWAY 42
NPI: 1821062605

DR. HARRY L RENCO (MD)

Internal Medicine Physician
9517 US HIGHWAY 42 STE 410
NPI: 1124093075

LYNN ADAMS O'KEEFFE (M.D.)

Internal Medicine Physician
West Southwest Boulevard, Prospect, Wichita, Sedgwick County, Kansas, 67215, United States
NPI: 1689638470