NPIMap

Individual provider Active NPI

Harigopal Balaji, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1396730263
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35078747 Issued in OH
Practice address
11201 Shaker Blvd
Suite 240
Cleveland, OH 44104-3873
Phone
(216) 791-0017
Fax
(216) 791-0021
NPI assigned
Sep 15, 2005
Last updated
May 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35078747 OH Primary

Addresses

Primary practice location

11201 Shaker Blvd
Suite 240
Cleveland, OH 44104-3873

Mailing address

11201 Shaker Blvd
Suite 240
Cleveland, OH 44104-3873
Phone (216) 791-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000247 OH Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5698762599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Medical Management LLCGroup PAC ID 1052843927, 12 clinicians
Faith Medical Associates, IncGroup PAC ID 7315831898, 5 clinicians

Practice addresses (Care Compare)

117 Blossom Centre Blvd
Suite 105
Willard, OH 44890-9317
Phone (419) 561-4552

464 Richmond Rd
Suite 102
Richmond HTS, OH 44143-2704
Phone (216) 486-3233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078747OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Healthcare LLC Internal Medicine CurrentSince May 28, 2023 Accepting new patients
Faith Medical Associates, Inc Internal Medicine CurrentSince Dec 9, 2011 Accepting new patients
The McGregor Foundation Past Accepting new patients
High Pointe Health & Rehab Center, LLC Past Accepting new patients
Progressive Lyndhurst LLC Past Accepting new patients
C a S Health Investors, Inc. Past Accepting new patients
17322 Euclid Avenue Company LLC Past Accepting new patients
Euclid Hill Health Investors, Inc. Past Accepting new patients
Daughters of Miriam Center for Nursing & Rehabilitation LLC Past Accepting new patients
University Hospitals Ahuja Medical Center, Inc Past Accepting new patients
Oakwood Health Care Services Inc. Past Accepting new patients
3G Operating Company LLC Past Accepting new patients
Oakwood Health Care Services Inc. Past Accepting new patients
Regency Hospital of North Central Ohio, LLC Past Accepting new patients
Merit Leasing Co., LLC Past Accepting new patients

Locations

11201 Shaker Blvd
Ste 240
Cleveland, OH 44104
Phone (216) 359-3469

464 Richmond Rd
Richmond Hts, OH 44143
Phone (216) 261-6398

464 Richmond Rd
Ste 102
Richmond Hts, OH 44143
Phone (216) 486-3233

Interoperability endpoints

  • Direct secure messaging: hbalaji36025@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grande PavilionOakwood VLG, OH, CCN 365401 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Grande OaksOakwood VLG, OH, CCN 365825 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
The Gardens of McGregor & Amasa StoneEast Cleveland, OH, CCN 366350 Skilled nursing facility Contracted Managing Employee (5%)
Adp of the SNF		 Jan 1, 2020
Jan 24, 2025
Grande Pointe Healthcare CommunityRichmond Heights, OH, CCN 366008 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2012
May 19, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1396730263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "address_2": "SUITE 240",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043873",
            "telephone_number": "216-791-0017",
            "fax_number": "216-791-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "address_2": "SUITE 240",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043873",
            "telephone_number": "216-791-0017",
            "fax_number": "216-791-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJI",
        "first_name": "HARIGOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.