Subramaniam Balachandran, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G0656 Issued in TX

Practice address

1007 S William St
Atlanta, TX 75551-3245

Phone

(903) 799-3326

NPI assigned

Jun 26, 2005

Last updated

May 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Emergency Medicine

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipa ER Group PLLCGroup PAC ID 9133655616, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ipa ER Group PLLC

  • Emergency Medicine Physician
  • Trophy Club, TX
  • NPI 1588488571
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment
• S. Balachandran, MD, PA

  • Surgery Physician
  • Atlanta, TX
  • NPI 1699095075
  Authorized official Same address or phone
• Atlanta Hospital Authority

  dba Atlanta Memorial Hospital

  • Rural Acute Care Hospital
  • Atlanta, TX
  • NPI 1073600136
  NPD (past)
• Atlanta Hospital Authority

  dba Atlanta Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Atlanta, TX
  • NPI 1265514798
  NPD (past)
• Lipscomb Emergency Physicians

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1609154335
  NPD (past)
• Thelma M Hernandez MD PA

  • Anesthesiology Physician
  • Mount Pleasant, TX
  • NPI 1659682466
  NPD (past)

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

• Trophy Club Medical Center LP

  dba Baylor Scott & White Medical Center - Trophy Club

  • General Acute Care Hospital
  • Trophy Club, TX
  • NPI 1982609558
  Care Compare affiliation

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1225034010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751460797",
            "telephone_number": "254-694-5092",
            "fax_number": "254-694-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513245",
            "telephone_number": "903-799-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACHANDRAN",
        "first_name": "SUBRAMANIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G0656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "15AR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1365207-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142587001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675661",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlanta Nursing Homes Inc (DBA Golden Villa)
• Atlanta Nursing Homes Inc. (Rose Haven Retreat)
• Chad Eugene Autrey, LMT
• Cheyanne Autry, APRN, FNP-C
• B D Pharmacy Inc (Powers Pharmacy No. 2)
• James P Bartlett Sr., D.D.S.
• Wynette C Betts, MS CCC/SLP
• Terry Dean Boatman, CRNA
• Michael Cooper Cade, O.D.
• Christus Health Ark-la-Tex (CHRISTUS St Michael Atlanta Wound Care Center)

• Surgery Physician in Atlanta, TX
• Providers in Atlanta, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.