Individual provider Active NPI

Balasubramanya Kolar, M.D.

  • Diagnostic Radiology Physician
  • Lansing, MI
National Provider Identifier
1285824011
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301505158 Issued in MI
Practice address
3220 Discovery Dr Ste 100
Lansing, MI 48910
Phone
(517) 353-5053
Fax
(517) 432-4394
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301505158 MI Primary

Addresses

Primary practice location

3220 Discovery Dr Ste 100
Lansing, MI 48910

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-5053

Other practice location 1

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6000

Other practice location 2

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121228000458 SD Practitioner - Diagnostic Radiology 2961655873 Reassigns benefits to 1 organization
I20210809000643 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2961655873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

4660 S Hagadorn Rd
East Lansing, MI 48823-5353

4660 S Hagadorn Rd
Suite 500
East Lansing, MI 48823-6804
Phone (517) 884-4554

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Nov 6, 2012 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Nov 6, 2012 Accepting new patients
Msu Health Care Inc Current Accepting new patients
W. a. Foote Memorial Hospital, Inc CurrentSince May 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince May 1, 2025 Accepting new patients
Bamf Health Inc CurrentSince Feb 12, 2024 Accepting new patients
Msu Health Care Inc. CurrentSince Oct 1, 2021 Accepting new patients
Sanford Clinic Current Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Advanced Radiology Services PC Diagnostic Radiology Past Accepting new patients

Locations

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste D100
East Lansing, MI 48824
Phone (517) 353-4941

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Organizations & group practices 11

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 4

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1285824011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-5053",
            "fax_number": "517-432-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 DISCOVERY DR STE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-353-5053",
            "fax_number": "517-432-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Collins Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108394",
            "country_code": "US",
            "telephone_number": "517-975-6000",
            "fax_number": "517-884-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3264 N Evergreen Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495259746",
            "country_code": "US",
            "telephone_number": "616-363-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLAR",
        "first_name": "BALASUBRAMANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301505158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.