BALAKRISHNA R RAGOOR (MD) – Family Medicine Physician, NPI 1568436152

BALAKRISHNA R RAGOOR (MD) is a healthcare provider. based in Monroeville, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD042607L (PA). The NPI Number for BALAKRISHNA R RAGOOR (MD) is 1568436152

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
BALAKRISHNA R RAGOOR (MD)
NPI
1568436152
Phone
(412) 372-9100
Address
4217 NORTHERN PIKE
Enumeration Date
13 February 2006
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123729100
Graduation Year
1980 (46 years ago)
PAC ID
7517865132
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20031222000003

Contacts

Secure Messaging
bragoor11306@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for BALAKRISHNA R RAGOOR (MD)

  • 4217, Northern Pike, Monroeville, Allegheny County, Pennsylvania, 15146, United States

    MONROEVILLE, PA 151462713

    Phone: (412) 372-9100

    Fax: (412) 372-6952

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $3,702.

Total Amount is formed as General ($3,702) + Research ($0) + Ownership ($0) = $3,702.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($615).

Total Amount

$3,702

General + Research + Ownership

Payments

115

Total payment records

General Amount

$3,702

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2003-12-22

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
I20031222000003IFamily PracticePATBD

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 minutes147122$0
99213Established patient office or other outpatient visit, 20-29 minutes6659$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5050$0
83036Hemoglobin a1c level1717$0
99212Established patient office or other outpatient visit, 10-19 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 15146)

Loading plans...

Provider's Procedures

BALAKRISHNA R RAGOOR (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle2020

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: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

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

How do I look up BALAKRISHNA R RAGOOR (MD) by NPI?
Use NPI 1568436152 when you need to reference BALAKRISHNA R RAGOOR (MD) in forms, claims, or directories.
Is BALAKRISHNA R RAGOOR (MD) currently active in the NPI registry?
CMS-published data lists BALAKRISHNA R RAGOOR (MD) as an active registrant.
What field does BALAKRISHNA R RAGOOR (MD) work in?
You can think of BALAKRISHNA R RAGOOR (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does BALAKRISHNA R RAGOOR (MD) practice in Pennsylvania?
You will see Monroeville, Pennsylvania on file for BALAKRISHNA R RAGOOR (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. JOHN EDWARD NEMEC (MD)

Family Medicine Physician
Haymaker Road, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1508865106

JANICE MARILYN ANDERSON (MD)

Family Medicine Physician
Mosside Boulevard, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1386643823

DR. ELIZABETH STIFEL (MD)

Family Medicine Physician
Haymaker Road, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1851383293

Forbes Regional Family Practice

Family Medicine Physician
2566, Haymaker Road, Monroe Heights, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1033192331

GARY JOHN SILKO (MD)

Family Medicine Physician
Mosside Boulevard, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1326027178

DR. RAJIV K. JANA (DO)

Family Medicine Physician
4341, Northern Pike, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1881674711

STEVEN R WOLFE (DO, MPH)

Family Medicine Physician
1307 Federal St Ste B110
NPI: 1770557803

Monroeville Medical Associates

Internal Medicine Physician
2550, Mosside Boulevard, Monroeville, Allegheny County, Pennsylvania, 15146, United States
NPI: 1487628186

VERONICA M PRATT (MD)

Family Medicine Physician
UPMC Presbyterian Hospital, 200, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States
NPI: 1528028008