Elangovan Balakrishnan, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2004024397 Issued in MO

Practice address

1705 E Broadway
Suite 100
Columbia, MO 65201-5852

Phone

(573) 874-7800

Fax

(573) 443-3627

NPI assigned

Sep 29, 2005

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Hematology/OncologyAlso: Hematology

Education

University of Texas Medical School at Houston, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri Cancer Associates LLCGroup PAC ID 8729975305, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice Compassus-North Central Missouri Hospice, Columbia, MO, CCN 261623
• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
• Boone Hospital Center Hospital, Columbia, MO, CCN 260068
• Sullivan County Memorial Hospital Hospital, Milan, MO, CCN 261306
• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
• Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elangovan.balakrishnan@mca.ikm.direct-ci.com

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.

• Missouri Cancer Associates LLC

  • Oncology Clinic/Center
  • Columbia, MO
  • NPI 1215947338
  Medicare reassignment Care Compare group NPD
• Missouri Cancer Associates LLC

  dba Missouri Cancer Care Pharmacy

  • Pharmacy
  • Columbia, MO
  • NPI 1992871719
  NPD
• Pacific Cancer Institute LLC

  • Radiation Oncology Clinic/Center
  • Wailuku, HI
  • NPI 1144433053
  NPD (past)

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

• CH Allied Services, Inc

  dba Boone Hospital Center

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  dba Boone Hospital Center

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844
  Care Compare affiliation
• Community Hospices of America, LLC

  • Community Based Hospice Care Agency
  • Columbia, MO
  • NPI 1558463380
  Care Compare affiliation
• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159
  Care Compare affiliation
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Care Compare affiliation
• Sullivan County Memorial Hospital

  • Critical Access Hospital
  • Milan, MO
  • NPI 1114067832
  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1407843022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017167",
            "telephone_number": "573-874-7800",
            "fax_number": "573-443-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015852",
            "telephone_number": "573-874-7800",
            "fax_number": "573-443-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 W Pierce St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635011448",
            "country_code": "US",
            "telephone_number": "660-785-1050",
            "fax_number": "660-785-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "ELANGOVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2004024397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "193438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "689969",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209024306",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "65201A011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5132415",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elangovan.balakrishnan@mca.ikm.direct-ci.com",
            "affiliation": "N",
            "address_1": "1705 E Broadway",
            "address_2": "Suite 100",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Baker
• Shauna Marie Baker, LPC
• Shadi Bakjaji, MD
• Bhajanjit S Bal, MD
• Dana S Bal, M.D.
• Isabella Victoria Baldacci, PA-C
• Whitney Baldridge, LCSW
• Charles C Baldwin, MD
• Diane Louise Baldwin, R.PH.
• Vaishnavi Balendiran, MD

• Hematology & Oncology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.

Verify at the official NPI Registry.