Individual provider Active NPI

Nivas Balasubramaniyam, MD

  • Interventional Cardiology Physician
  • Lafayette, IN
National Provider Identifier
1306179643
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01078328A Issued in IN
Practice address
5177 McCarty LN
Lafayette, IN 47905-8764
Phone
(765) 448-8000
NPI assigned
Sep 17, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 01078328A IN Primary

Addresses

Primary practice location

5177 McCarty LN
Lafayette, IN 47905-8764

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988
Phone (765) 448-8000

Other practice location 1

1190 5th Ave
Mount Sinai Medical Center Interventional Cardiology
New York, NY 10029-6503
Phone (212) 241-5136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbalasubrama@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170613000243 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6002184231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Arnett Clinic LLCGroup PAC ID 0749184380, 401 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.12 of 100Reported as individual
Quality
74.99
Promoting interoperability
98
Improvement activities
40
Cost
83.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078328AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Iu Health Medical Group, LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 1, 2017 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

1300 S Jackson St
Frankfort, IN 46041
Phone (765) 656-3000

550 S Hoke Ave
Frankfort, IN 46041
Phone (765) 659-1110

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1116 N 16th St
Lafayette, IN 47904
Phone (765) 423-6300

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

2600 Greenbush St
Lafayette, IN 47904

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

5177 McCarty Ln
Lafayette, IN 47905
Phone (765) 838-7101

720 S 6th St
Monticello, IN 47960
Phone (574) 583-1776

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

Interoperability endpoints

  • Direct secure messaging: nbalasubrama@direct.iuhealth.org
  • Direct secure messaging: nbalasubramaniyam252730@direct.franciscanalliance.org

Organizations & group practices 4

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 3

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306179643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "765-448-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5177 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058764",
            "telephone_number": "765-448-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 5th Ave",
            "address_2": "Mount Sinai Medical Center Interventional Cardiology",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296503",
            "country_code": "US",
            "telephone_number": "212-241-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALASUBRAMANIYAM",
        "first_name": "NIVAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01078328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbalasubrama@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "5177 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.