AMRUTHA BALAKRISHNAN (MD) – Family Medicine Physician, NPI 1043479116

AMRUTHA BALAKRISHNAN (MD) is a healthcare provider. based in Marlborough, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. D71971 (MD). The NPI Number for AMRUTHA BALAKRISHNAN (MD) is 1043479116

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
AMRUTHA BALAKRISHNAN (MD)
NPI
1043479116
Phone
(508) 481-0200
Address
640 BOLTON ST
Enumeration Date
4 June 2008
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084810200
Graduation Year
2004 (22 years ago)
PAC ID
6305017856
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20190308000066
Address ID
MA017523999MA640XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
abalakrishnan270196@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

1,900 FAMILY PRACTICE in MA

Loading map...

Provider Addresses for AMRUTHA BALAKRISHNAN (MD)

  • 640, Bolton Street, Marlborough, Middlesex County, Massachusetts, 01752-3260, United States

    MARLBOROUGH, MA 017523999

    Phone: (508) 481-0200

    Fax: (508) 229-2343

    Type: Location

  • PO BOX 41538

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

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: 2019-03-08

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
I20190308000066IFamily PracticeMATBD

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 minutes13783$0
99213Established patient office or other outpatient visit, 20-29 minutes12167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8282$0
G0009Administration of pneumococcal vaccine3535$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use3131$0
View full utilization report →

Insurance plans in this area (ZIP 01752)

Loading plans...

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: 4284539891View full group profile
NameSpecialtyState
-MA
-MA
Family PracticeMA
Physician AssistantMA
A N E S T H E S I O L O G YNY
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

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

Does AMRUTHA BALAKRISHNAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMRUTHA BALAKRISHNAN (MD) uses 1043479116.
Is AMRUTHA BALAKRISHNAN (MD) still practicing?
AMRUTHA BALAKRISHNAN (MD) is currently listed as active in the public NPI registry.
What is AMRUTHA BALAKRISHNAN (MD)'s specialty?
The listing groups AMRUTHA BALAKRISHNAN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is AMRUTHA BALAKRISHNAN (MD) based?
AMRUTHA BALAKRISHNAN (MD) is tied to Marlborough, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about AMRUTHA BALAKRISHNAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

JULIE F OZAYDIN (M.D.)

Family Medicine Physician
650 Boston Post Rd E
NPI: 1922083849

JOSEPH J JR. SLIWKOWSKI (MD)

Sports Medicine (Preventive Medicine) Physician
5, Mount Royal Avenue, Marlborough, Middlesex County, Massachusetts, 01752-3260, United States
NPI: 1861452294

GILBERTO JR. SUSTACHE (M.D.)

Family Medicine Physician
65 BOSTON POST RD W STE 100
NPI: 1205898509
PO BOX 2190
NPI: 1518914134

QUANG P LE (M.D.)

Family Medicine Physician
83, Kings View Road, Marlborough, Middlesex County, Massachusetts, 01752, United States
NPI: 1578665998

LAKEVIEW MEDICAL ASSOC

Family Medicine Physician
640, Bolton Street, Marlborough, Middlesex County, Massachusetts, 01752-3260, United States
NPI: 1013114644

DR. ANNABI I DJALO (MD)

Family Medicine Physician
157 Union St
NPI: 1437311289

DR. ANUPREET OBEROI (M.D)

Family Medicine Physician
630;636;644;650, Boston Post Road East, Marlborough, Middlesex County, Massachusetts, 01772, United States
NPI: 1881850816

SHEAN L BARRETT (MD)

Family Medicine Physician
20 YORK STREET, CB-2041
NPI: 1568780922