NPIMap

Individual provider Active NPI

Pankaj Baluja, MD

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1063480309
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22892 Issued in OK
Practice address
608 NW 9TH St Ste 4106
Oklahoma City, OK 73102-1006
Phone
(405) 272-8367
NPI assigned
Mar 11, 2006
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22892 OK
Nephrology Physician 207RN0300X 22892 OK Primary

Addresses

Primary practice location

608 NW 9TH St Ste 4106
Oklahoma City, OK 73102-1006

Mailing address

608 NW 9TH St Ste 4106
Oklahoma City, OK 73102-1006
Phone (405) 272-8367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001344 OK Practitioner - NephrologyPractitioner - Internal Medicine 4082657846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

608 NW 9TH St
Suite 4106
Oklahoma City, OK 73102-1006
Phone (405) 272-8367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.81 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Pankaj Baluja PLLC CurrentSince Jan 1, 2016 Accepting new patients
Edmond Hospitalists LLC Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Purcell Municipal Hospital Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 4106
Oklahoma City, OK 73102
Phone (405) 272-5433

810 NW 10th St
Ste A
Oklahoma City, OK 73106
Phone (405) 272-8367

Interoperability endpoints

  • Direct secure messaging: pbaluja49127@direct-ehr-ssmhc.com

Organizations & group practices 6

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1063480309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 4106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021006",
            "telephone_number": "405-272-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 4106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021006",
            "telephone_number": "405-272-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUJA",
        "first_name": "PANKAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22892",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "22892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.