ARCHANA BALASUBRAMANYA (MD) – Internal Medicine Physician, NPI 1912197443
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
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Provider Addresses for ARCHANA BALASUBRAMANYA (MD)
500 NE MULTNOMAH ST FL 11
PORTLAND, OR 972322023
Phone: (503) 499-5200
Fax: (503) 499-5535
Type: Mailing
119, Boone Ridge Drive, Johnson City, Washington County, Tennessee, 37615, United States
SUITE 201
JOHNSON CITY, TN 376154998
Phone: (423) 282-1480
Fax: (423) 928-1353
Type: Mailing
3175 NE ALOCLEK DR
HILLSBORO, OR 971247135
Phone: (503) 499-5200
Fax: (503) 499-5535
Type: Location
PO BOX 382964
BIRMINGHAM, AL 352382964
Phone: (423) 767-4327
Fax: (425) 250-8495
Type: Mailing
1817 SURREY OAKS LN
VESTAVIA, AL 352431761
Phone: (423) 767-4327
Fax: (423) 928-1353
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2022-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111028000679 | I | Internal Medicine | AL | TBD |
| I20220114001301 | I | Internal Medicine | WA | TBD |
| I20220114002063 | I | Internal Medicine | OR | TBD |
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.
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 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
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