GULNAR BALSARA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1164422291

GULNAR BALSARA (M.D.) is a healthcare provider. based in Mount holly, New Jersey. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA06877300 (NJ). The NPI Number for GULNAR BALSARA (M.D.) is 1164422291

Main info

Female
57 Years Of Experience
Accepts Medicare Assignment
Name
GULNAR BALSARA (M.D.)
NPI
1164422291
Phone
(609) 261-7095
Address
175 MADISON AVE
Enumeration Date
29 July 2005
Last Update Date
8 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8562473000
Graduation Year
1969 (57 years ago)
PAC ID
0042206575
Group Practice PAC ID
9638144983
Professional Enrollment ID
I20040421001096
Address ID
NJ080439612VO100XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

355 PATHOLOGY in NJ

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Provider Addresses for GULNAR BALSARA (M.D.)

  • Virtua Memorial Hospital Of Burlington County, 175, Madison Avenue, Clermont, Mount Holly, Mount Holly Township, Burlington County, New Jersey, 08060, United States

    MOUNT HOLLY, NJ 080602038

    Phone: (609) 261-7095

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-02-18 • Largest payer in this snapshot: Roche Diagnostics Corporation ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-18

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: 2004-04-21

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
I20040421001096IPathologyNJTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity892353$0
88341Special stained specimen slides to examine tissue, each additional procedure42852$0
88342Special stained specimen slides to examine tissue, initial procedure186155$0
84165Protein measurement, serum109105$0
88313Special stained specimen slides to examine tissue including interpretation and report7056$0
View full utilization report →

Insurance plans in this area (ZIP 08060)

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Provider's Procedures

GULNAR BALSARA (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNJ88304Pathology examination of tissue using a microscope, moderately low complexity178161
PATHOLOGYNJ88307Pathology examination of tissue using a microscope, moderately high complexity220152

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: 9638144983View full group profile
NameSpecialtyState
P A T H O L O G YAL
P A T H O L O G YNJ
P A T H O L O G YNJ
P A T H O L O G YMN
P A T H O L O G YPA
P A T H O L O G YNY
-SC
-NJ
P A T H O L O G YPA
P A T H O L O G YNJ

Reviews

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Frequently asked questions

What is GULNAR BALSARA (M.D.)'s NPI number?
GULNAR BALSARA (M.D.)'s NPI is 1164422291 — the number used across U.S. healthcare to identify this provider.
Is there an active status for GULNAR BALSARA (M.D.)?
For scheduling context, GULNAR BALSARA (M.D.) is shown as active in the registry.
What expertise is attributed to GULNAR BALSARA (M.D.)?
GULNAR BALSARA (M.D.)'s specialty line reads Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is GULNAR BALSARA (M.D.) associated with Mount Holly?
Public fields place GULNAR BALSARA (M.D.) around Mount Holly, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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