Individual provider Active NPI

Balaji Jagdish, DO

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1023697620
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS023984 Issued in PA
Practice address
601 Elmwood Ave
Rochester, NY 14642-4772
Phone
(585) 275-4711
NPI assigned
Apr 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS023984 PA Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-4772

Mailing address

1307 Federal St Ste B300
Pittsburgh, PA 15212-4775
Phone (412) 359-3751

Other practice location 1

4815 Liberty Ave
Pittsburgh, PA 15224-2156
Phone (412) 235-5810

Other practice location 2

320 E North Ave
Pittsburgh, PA 15212-4772
Phone (412) 359-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240727000279 PA Practitioner - Internal Medicine 1153867031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023984PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2024 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 235-5810

4815 Liberty Ave
Ste GR10
Pittsburgh, PA 15224
Phone (412) 235-5858

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1023697620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124775",
            "telephone_number": "412-359-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146424772",
            "telephone_number": "585-275-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242156",
            "country_code": "US",
            "telephone_number": "412-235-5810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124772",
            "country_code": "US",
            "telephone_number": "412-359-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGDISH",
        "first_name": "BALAJI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS023984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.