Individual provider Active NPI

Balraj Singh, MD

  • Cardiovascular Disease Physician
  • Longwood, FL
National Provider Identifier
1508097452
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036174625 Issued in IL
Practice address
521 W State Road 434 Ste 307&308
Longwood, FL 32750-4984
Phone
(321) 841-6444
Fax
(321) 842-1955
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036174625 IL Primary
Cardiovascular Disease Physician 207RC0000X ME129943 FL

Addresses

Primary practice location

521 W State Road 434 Ste 307&308
Longwood, FL 32750-4984

Mailing address

521 W State Road 434 Ste 307&308
Longwood, FL 32750-4984
Phone (321) 841-6444

Other practice location 1

5151 N 9th Ave
Suite 203
Pensacola, FL 32504-8721
Phone (850) 416-4970

Other practice location 2

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone (618) 233-3066

Other identifiers 5

IdentifierTypeStateIssuer
7100263580MedicaidKY
018929400MedicaidFL
1508097452MedicaidVA
1508097452MedicaidNC
1530760MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, OR, OK, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20130129000293 TN Practitioner - Internal Medicine 9436303476 Reassigns benefits to 1 organization
I20161115001046 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436303476 Reassigns benefits to 1 organization
I20250514001379 OR Practitioner - Internal Medicine 9436303476 Reassigns benefits to 2 organizations
I20250519002689 OK Practitioner - Cardiovascular Disease (Cardiology) 9436303476 Reassigns benefits to 1 organization
I20251230002374 IL Practitioner - Cardiovascular Disease (Cardiology) 9436303476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036174625ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health West Valley CurrentSince Apr 28, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Oct 2, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 26, 2023 Accepting new patients
Ahs Oklahoma Heart LLC CurrentSince Feb 28, 2025 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Oct 26, 2023 Accepting new patients
Salem Health CurrentSince Apr 28, 2025 Accepting new patients
Salem Health CurrentSince Apr 28, 2025 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Nov 1, 2015 Accepting new patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease Past Accepting new patients
Inpatient Consultants of Tennessee, P.C. Past Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients

Locations

521 W State Road 434
Ste 307
Longwood, FL 32750

521 W State Road 434
Ste 307308
Longwood, FL 32750

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

5151 N 9th Ave
Ste 203
Pensacola, FL 32504

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

Dept 1218
Tulsa, OK 74182

9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • Direct secure messaging: balraj.singh.1@9582.direct.athenahealth.com
  • Direct secure messaging: bsingh1330182@ahs.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1508097452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434 STE 307&308",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504984",
            "telephone_number": "321-841-6444",
            "fax_number": "321-842-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434 STE 307&308",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504984",
            "telephone_number": "321-841-6444",
            "fax_number": "321-842-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 N 9th Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048721",
            "country_code": "US",
            "telephone_number": "850-416-4970",
            "fax_number": "850-416-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Memorial Dr Ste W1",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265359",
            "country_code": "US",
            "telephone_number": "618-233-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "BALRAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036174625",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME129943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100263580",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018929400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508097452",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508097452",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530760",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.