Sarayu Balu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

042.0006455 Issued in VT

Practice address

609 Washington Hwy
Morrisville, VT 05661-8652

Phone

(802) 888-7337

Fax

(802) 888-7398

NPI assigned

Apr 10, 2007

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pratt Pediatric Associates Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1477590511
  Medicare reassignment NPD
• Sarayu Balu

  dba Ryder Brook Pediatrics

  • Rural Health Clinic/Center
  • Morrisville, VT
  • NPI 1518180314
  NPD Authorized official
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1386867182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "RYDER BROOK PEDIATRICS",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610608",
            "telephone_number": "802-888-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-7337",
            "fax_number": "802-888-7398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 Laporte Rd",
            "address_2": "Ryder Brook Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "VT",
            "postal_code": "05661",
            "country_code": "US",
            "telephone_number": "802-888-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALU",
        "first_name": "SARAYU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-0006455",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042.0006455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005114",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER FOR OTHER",
            "identifier": "0005114",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Antell, M.D.
• Sheila Arel
• Brian Christopher Aros, M.D.
• Denise Ashman, LCMHC
• Edwin G Baker, LICSW LADC
• Gabrielle Baraby
• Amanda Barrett
• Ann S Bartlett, MD
• Brynn Basiliere, MSW
• Angelina Beckett

• Pediatrics Physician in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.