Bhuvana Balasekaran MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2794 Issued in TX

Legal business name

BHUVANA BALASEKARAN MD PA

Practice address

1301 W Wall St
Ste C
Midland, TX 79701-6621

Phone

(432) 570-4500

Fax

(432) 522-2115

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Corena P Buendia

Title

Office Manager

Phone

(432) 570-4500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhuvana Balasekaran, MD

  • Family Medicine Physician
  • Midland, TX
  • NPI 1770564080
  Medicare reassignment
• Audra Shay Leonard, PA-C

  • Medical Physician Assistant
  • Midland, TX
  • NPI 1881965648
  Medicare reassignment

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1447598875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W WALL ST",
            "address_2": "STE C",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016621",
            "telephone_number": "432-570-4500",
            "fax_number": "432-522-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W WALL ST",
            "address_2": "STE C",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016621",
            "telephone_number": "432-570-4500",
            "fax_number": "432-522-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHUVANA BALASEKARAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BUENDIA",
        "authorized_official_first_name": "CORENA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "432-570-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0041JJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153987601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Best, M.D.
• Allison Tisdale Beversdorf
• Meera Bhakta
• Neel Bhan, MD
• Vidya Bharati Sinha, MD
• Mary Grace Biggs, LPC
• Bio-Medical Applications of Texas, Inc.
• Bioenve, LLC
• Lucas Clark Bishop, DMD
• Dianna Black

• Family Medicine Physician in Midland, TX
• Providers in Midland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.