VAIDYANATHAPURAM BALAKRISHNAN (M.D.) – Nephrology Physician, NPI 1326095548

VAIDYANATHAPURAM BALAKRISHNAN (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 204354 (MA). The NPI Number for VAIDYANATHAPURAM BALAKRISHNAN (M.D.) is 1326095548

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
VAIDYANATHAPURAM BALAKRISHNAN (M.D.)
NPI
1326095548
Phone
Not provided
Address
BMCHS PROVIDER ENROLLMENT
Enumeration Date
31 May 2006
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6175625200
Graduation Year
1984 (42 years ago)
PAC ID
8628040300
Group Practice PAC ID
3476749540
Professional Enrollment ID
I20040812000287
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

458 NEPHROLOGY in MA

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Provider Addresses for VAIDYANATHAPURAM BALAKRISHNAN (M.D.)

  • BMCHS PROVIDER ENROLLMENT

    960 MASSACHUSETTS AVE FLR 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 11, Nevins Street, Bugg Village, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    SUITE 202 SEMC - MEDICAL SPECIALTIES PRACTICE

    BRIGHTON, MA 02135

    Phone: (617) 779-6700

    Fax: (617) 779-6771

    Type: Location

  • St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    CCP 7064

    BOSTON, MA 02135

    Phone: (617) 562-7830

    Fax: (617) 562-7782

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($86).

Total Amount

$86

General + Research + Ownership

Payments

10

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2004-08-12

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
I20040812000287INephrologyMATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes29591$0
99214Established patient office or other outpatient visit, 30-39 minutes226107$0
90935Hemodialysis procedure with physician evaluation14753$0
81002Urinalysis, manual test9261$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7873$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Provider's Procedures

VAIDYANATHAPURAM BALAKRISHNAN (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMA90935Hemodialysis procedure with one physician evaluation5334
NEPHROLOGYMA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older2911

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: 3476749540View full group profile
NameSpecialtyState
-MA
-MA
Cardiovascular Disease (Cardiology), Internal MedicineMA
-MA
-MA
-MA
Adult Congenital Heart Disease (Achd), Cardiovascular Disease (Cardiology), Internal MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
-MA

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Frequently asked questions

What is the standard ID for VAIDYANATHAPURAM BALAKRISHNAN (M.D.) in the U.S.?
In the U.S., VAIDYANATHAPURAM BALAKRISHNAN (M.D.) is identified by NPI 1326095548.
Is VAIDYANATHAPURAM BALAKRISHNAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists VAIDYANATHAPURAM BALAKRISHNAN (M.D.) as active.
How should patients interpret VAIDYANATHAPURAM BALAKRISHNAN (M.D.)'s specialty?
The extract shows Nephrology Physician for VAIDYANATHAPURAM BALAKRISHNAN (M.D.). Clinical services aligned with this taxonomy classification.
Is VAIDYANATHAPURAM BALAKRISHNAN (M.D.) tied to Boston, Massachusetts?
If you are local to Boston, Massachusetts, VAIDYANATHAPURAM BALAKRISHNAN (M.D.) may be relevant to your search.
Can I export VAIDYANATHAPURAM BALAKRISHNAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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