Individual provider Active NPI

Akila Balasubramanian, MD

  • Family Medicine Physician
  • Casselberry, FL
National Provider Identifier
1245250174
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94679 Issued in FL
Practice address
985 State Road 436
Casselberry, FL 32707-5664
Phone
(407) 831-5252
Fax
(407) 831-3765
NPI assigned
Jul 21, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME94679 FL Primary

Addresses

Primary practice location

985 State Road 436
Casselberry, FL 32707-5664

Mailing address

985 State Road 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Other identifiers 1

IdentifierTypeStateIssuer
280689401MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20061102000548 FL Practitioner - Family Practice 2668479767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
CFP Care Team LLCGroup PAC ID 3577751742, 22 clinicians
CFP Physicians Group LLCGroup PAC ID 6002804051, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

5201 Curry Ford Rd
Orlando, FL 32812-8741
Phone (407) 384-8838

7255 Strive PL
Fern Park, FL 32730-2040
Phone (407) 848-1743

985 State Rd
Suite 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94679FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Mar 11, 2024 Accepting new patients
CFP Care Team LLC Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
CFP Physicians Group LLC Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients

Locations

985 State Road 436
Casselberry, FL 32707
Phone (407) 831-5252

151 E Minnehaha Ave
Clermont, FL 34711
Phone (352) 394-2188

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

5201 Curry Ford Rd
Orlando, FL 32812
Phone (407) 384-8838

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

558 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 628-0123

Interoperability endpoints

  • Direct secure messaging: akilabalasubramanian@cfppgpl.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tuskawilla Nursing and Rehab CenterWinter Springs, FL, CCN 105872 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 28, 2018
Feb 28, 2018
Parkview Rehabilitation Center at Winter ParkWinter Park, FL, CCN 105307 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 14, 2023
Oct 14, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 12

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1245250174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASUBRAMANIAN",
        "first_name": "AKILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280689401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.