Balu S Mani, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036920 Issued in GA

Practice address

119 Upper Riverdale Rd SW
Riverdale, GA 30274-2540

Phone

(770) 991-1010

NPI assigned

Dec 29, 2005

Last updated

Jul 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 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Diagnostic RadiologyAlso: Nuclear Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Atlanta Radiology Associates, P.C.Group PAC ID 0749274272, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• South Atlanta Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Riverdale, GA
  • NPI 1811949720
  Medicare reassignment Care Compare group NPD Authorized official
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Stockbridge, GA
  • NPI 1265484182
  Medicare reassignment NPD Authorized official
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Griffin, GA
  • NPI 1235382375
  NPD
• South Atlanta Radiology Associates- Griffin

  • Diagnostic Radiology Physician
  • Griffin, GA
  • NPI 1477704831
  NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1467439612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100032",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301569232",
            "telephone_number": "770-312-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742540",
            "telephone_number": "770-991-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "BALU",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "036920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000544893",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Maclauchlin
• Yvonne Mukosolu Maduka, MD
• Son Bang Mai, FNP
• Vikram Reddy Mandadi, MD
• Tyrone Mangum
• Saptak Piyush Mankad, MD
• Dwight Hannibal Manley, RBT
• Tristan Marsh, LMSW
• Alexis R Marshall
• Carolyn W. Marshall, L.C.S.W., ED. S.

• Diagnostic Radiology Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Diagnostic Radiology Physician in Georgia

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