Balu Swamy Viswanathan, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J2830 Issued in TX

Practice address

602 Indiana Ave
Pediatric Intensive Care Unit, Umc Health System
Lubbock, TX 79415-3364

Phone

(806) 775-8828

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093866790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 54182",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79453",
            "telephone_number": "806-792-9863",
            "fax_number": "817-900-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 INDIANA AVE",
            "address_2": "PEDIATRIC INTENSIVE CARE UNIT, UMC HEALTH SYSTEM",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153364",
            "telephone_number": "806-775-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "BALU",
        "middle_name": "SWAMY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2830",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "J2830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00J07N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhandyl Vinyard, PTA
• Virginia a. Rauth, M.D., P.a.
• Vision Affiliates
• Vision One Associates
• Visionworks, Inc. (Visionworks)
• Catalina Vivanco Sevilla, FNP-APRN-C
• Diana Van Anh Vo, MD
• Kandace Vo, PHARM.D
• Christiane C Vogt-Harenkamp, M.D.
• Maria Roxanne Alvero Volante, FNP-C

• Pediatrics Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.