Active NPI
Nivas Balasubramaniyam, MD
- Interventional Cardiology Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01078328A
- Practice address
- 5177 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- NPI assigned
- Sep 17, 2009
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078328A | IN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Single Specialty | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Arnett Clinic, LLC | 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
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
- nbalasubrama@direct.iuhealth.org
- 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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Arnett Hospital
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- Critical Access Hospital
- Frankfort, IN
- NPI 1346774270
-
- Critical Access Hospital
- Monticello, IN
- NPI 1710983945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.