SUJATA S. BALULAD, MD., PA – Clinical Cardiac Electrophysiology Physician, NPI 1154897130
Clinical Cardiac Electrophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUJATA S. BALULAD, MD., PA
1095 HIGHWAY A1A APT 2201
SATELLITE BEACH, FL 32937
Phone: (518) 573-1552
Fax: (404) 991-3011
Type: Location
17154 SE 109th Terrace Rd
Summerfield, FL 344919017
Phone: (352) 478-0010
Fax: (949) 577-4163
Type: Location
1501 N US HIGHWAY 441 BLDG 1600
THE VILLAGES, FL 321598999
Phone: (352) 478-0010
Fax: (949) 577-4163
Type: Location
33041 PROFESSIONAL DR STE 101
LEESBURG, FL 347883761
Phone: (352) 478-0010
Fax: (949) 577-4163
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: 2019-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (585 days ago).
Enrollment records
1
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20190401000702 | O | Clinic/Group Practice | FL | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32937)
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