Individual provider Active NPI

Balaji S Charlu, MD

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1609980432
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A103911 Issued in CA
Practice address
22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone
(949) 722-7038
Fax
(949) 630-4900
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A103911 CA
Interventional Pain Medicine Physician 208VP0014X 36812 IA
Interventional Pain Medicine Physician 208VP0014X A103911 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 36812 IA

Addresses

Primary practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985

Mailing address

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

Other names 1

  • Dr. Balaji Singaracharlu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20090901000281 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 5597761783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Michigan State University College of Human Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopedic Institute of Newport Beach Limited PartnershipGroup PAC ID 4688826688, 30 clinicians

Practice addresses (Care Compare)

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
99.26
Improvement activities
40
Cost
75.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103911CAMDInterventional Pain Medicine Physician
36812IAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1972355329 CurrentSince Jan 1, 2013 Accepting new patients
Orthopedic Institute of Newport Beach Limited Partnership CurrentSince Jan 1, 2013 Accepting new patients
Newport Orthopedic Institute Past Accepting new patients

Locations

19582 Beach Blvd
Ste 306
Huntington Beach, CA 92648
Phone (714) 965-0999

16300 Sand Canyon Ave
Ste 400
Irvine, CA 92618
Phone (949) 610-7245

22 Corporate Plaza Dr
Newport Beach, CA 92660
Phone (949) 472-2703

22 Corporate Plaza Dr
Ste 113
Newport Beach, CA 92660
Phone (949) 722-5054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: balaji.charlu.p1@direct.newportortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1609980432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-7038",
            "fax_number": "949-630-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-7038",
            "fax_number": "949-630-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLU",
        "first_name": "BALAJI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A103911",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IA",
            "license": "36812",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A103911",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IA",
            "license": "36812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BALAJI",
            "last_name": "SINGARACHARLU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.