Nivas Balasubramaniyam, MD
Individual provider Active NPI Interventional Cardiology Physician · Lafayette, IN
NPI 1306179643 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1306179643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 01078328A (IN)
- Practice address
- 5177 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- NPI assigned
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Arnett Clinic LLC
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
- Indiana University Health Arnett Hospital
- Indiana University Health White Memorial Hospital
- Indiana University Health Frankfort Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.12 of 100
- Quality
- 74.99
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 83.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 37 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170613000243 | IN | Practitioner - Cardiovascular Disease (Cardiology) |
6002184231 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078328A | IN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Single Specialty | Current |
Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Single Specialty | Current |
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
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
1116 N 16th St
Lafayette, IN 47904
Phone (765) 423-6300
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
- nbalasubrama@direct.iuhealth.org
- nbalasubramaniyam252730@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician |
207RI0011X | 01078328A | IN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300004342 | Medicaid | IN | |
| 000001090890 | Other | ANTHEM PROVIDER NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbalasubrama@direct.iuhealth.org |
Other providers in Lafayette, IN
- Charlotte L Baker
- Lisa Baker
- Selena Lauren Baker
- Terry Richard Baker
- Noor Bakroun
- James D Baldwin
- Rodney L Ball
- Hannah Banes
- Siddharth Bangar
- Christopher P Bangert
All providers in Lafayette, IN · Interventional Cardiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.