NPIMap

Individual provider Active NPI

Krishna Balabhadrapatruni, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1154559664
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301094681 Issued in MI
Practice address
4201 St Antoine
Uhc 5C
Detroit, MI 48201
Phone
(313) 577-4342
Fax
(313) 745-4707
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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 4301094681 MI Primary
Pediatrics Physician 208000000X 4301094681 MI

Addresses

Primary practice location

4201 St Antoine
Uhc 5C
Detroit, MI 48201

Mailing address

4201 St Antoine
Uhc 5C
Detroit, MI 48201
Phone (313) 577-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231205001520 OH Practitioner - Nephrology 3274981055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094681MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Nephrology Care LTD. CurrentSince Dec 1, 2023 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Nov 1, 2023 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

18720 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 295-7003

145 West Ave
Ste 2
Tallmadge, OH 44278
Phone (330) 633-8341

Interoperability endpoints

  • Direct secure messaging: kbalabhadrapatruni517606@ehrdirect.uhhospitals.org

Organizations & group practices 3

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 8

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1154559664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST ANTOINE",
            "address_2": "UHC 5C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-577-4342",
            "fax_number": "313-745-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST ANTOINE",
            "address_2": "UHC 5C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-577-4342",
            "fax_number": "313-745-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALABHADRAPATRUNI",
        "first_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094681",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301094681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.