MR. BHARATH BALU (PHD MD) – MOHS-Micrographic Surgery Physician, NPI 1194192872

MR. BHARATH BALU (PHD MD) is a healthcare provider. based in Greencastle, Pennsylvania. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials PHD MD. They hold a License No. MD483195 (PA). The NPI Number for MR. BHARATH BALU (PHD MD) is 1194192872

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. BHARATH BALU (PHD MD)
NPI
1194192872
Phone
(540) 560-3969
Address
8084 GOLF VISTA DR
Enumeration Date
28 August 2015
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7178445266
Graduation Year
2020 (6 years ago)
PAC ID
2668774605
Group Practice PAC ID
3274794268
Professional Enrollment ID
I20240920002145
Address ID
PA172011450CH1942XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Digital endpointsOther names

74 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in PA

Provider Addresses for MR. BHARATH BALU (PHD MD)

  • 8084 GOLF VISTA DR

    GREENCASTLE, PA 172259284

    Phone: (540) 560-3969

    Type: Mailing

  • 1942 SCOTLAND AVE

    CHAMBERSBURG, PA 172011450

    Phone: (717) 844-5266

    Type: Location

  • 6934 AVIATION BLVD

    SUITE B

    GLEN BURNIE, MD 210612593

    Phone: (443) 949-0814

    Fax: (443) 949-0825

    Type: Mailing

  • 420 S 5TH AVE

    READING, PA 196112143

    Phone: (484) 628-8640

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Lilly USA, LLC ($94).

Total Amount

$141

General + Research + Ownership

Payments

2

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

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: 2024-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160107000684IPhysician AssistantMDTBD
I20240920002145IMicrographic Dermatologic Surgery (Mds)PATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17225)

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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: 3274794268View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YMI
Nurse PractitionerPA
-PA
Physician AssistantFL
Dermatology, Micrographic Dermatologic Surgery (Mds)PA
D E R M A T O L O G YPA
D E R M A T O L O G YPA

Reviews

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Frequently asked questions

Can I cross-check MR. BHARATH BALU (PHD MD) using NPI 1194192872?
NPI 1194192872 belongs to MR. BHARATH BALU (PHD MD); compare other details if you need extra assurance.
Active or inactive — what applies to MR. BHARATH BALU (PHD MD)?
You should see MR. BHARATH BALU (PHD MD) as active in CMS-hosted NPPES data.
How would a patient describe MR. BHARATH BALU (PHD MD)'s focus?
For MR. BHARATH BALU (PHD MD), the primary taxonomy reads as MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. BHARATH BALU (PHD MD)?
Directory geography for MR. BHARATH BALU (PHD MD) centers on Greencastle, Pennsylvania.
When was this NPI issued?
Enumeration for MR. BHARATH BALU (PHD MD) is noted as August 28, 2015 where the registry provides it.

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