Individual provider Active NPI

Ajay K Balaram, MD

  • Orthopaedic Hand Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1013171636
Registry record updated Nov 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
036.123743 Issued in IL
Practice address
515 W Algonquin Rd
Arlington Heights, IL 60005-4439
Phone
(847) 956-0099
Fax
(847) 956-0099
NPI assigned
Jul 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125051809 IL
Student in an Organized Health Care Education/Training Program 390200000X 261302 NY
Orthopaedic Hand Surgery Physician 207XS0106X 036.123743 IL Primary

Addresses

Primary practice location

515 W Algonquin Rd
Arlington Heights, IL 60005-4439

Mailing address

515 W Algonquin Rd
Arlington Heights, IL 60005-4439
Phone (847) 956-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130419000085 IL Practitioner - Hand Surgery 1658517529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Surgery Associates SCGroup PAC ID 0648165233, 6 clinicians

Practice addresses (Care Compare)

515 W Algonquin Rd
Suite 120
Arlington Heights, IL 60005-4440
Phone 84795600994154

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125051809ILMDOrthopaedic Surgery Physician
036.123743ILMDOrthopaedic Hand Surgery Physician
261302NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Associates SC Hand Surgery CurrentSince Feb 1, 2013 Accepting new patients

Locations

515 W Algonquin Rd
Ste 120
Arlington Hts, IL 60005
Phone (847) 956-0099

515 W Algonquin Rd
Arlington Hts, IL 60005
Phone (847) 956-0099

391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006

360 W Butterfield Rd
Ste 150
Elmhurst, IL 60126
Phone (630) 516-1680

Interoperability endpoints

  • Direct secure messaging: ajaybalaram@hsasc.allscriptsdirect.net
  • Direct secure messaging: ajay.balaram.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352592000000",
    "number": "1013171636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W ALGONQUIN RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054439",
            "telephone_number": "847-956-0099",
            "fax_number": "847-956-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W ALGONQUIN RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054439",
            "telephone_number": "847-956-0099",
            "fax_number": "847-956-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALARAM",
        "first_name": "AJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2012-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125051809",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "261302",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036.123743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.