Individual provider Active NPI

Sharmini Asha Balakrishnan, M.D.

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1639306343
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
47077 Issued in KY
Practice address
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone
(502) 852-7665
NPI assigned
Jun 20, 2009
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 47077 KY Primary

Addresses

Primary practice location

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

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
I20160225001358 CA Practitioner - Ophthalmology 3375761679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Dougherty M D IncGroup PAC ID 9739171828, 16 clinicians

Practice addresses (Care Compare)

4353 Park Terrace Dr
Suite 150
Westlake Village, CA 91361-4639
Phone (805) 987-5300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47077KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Institute, Inc. Ophthalmology CurrentSince Sep 29, 2019 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
University Medical Center, Inc Past Accepting new patients

Locations

5363 Balboa Blvd
Ste 545
Encino, CA 91316
Phone (818) 906-2929

Interoperability endpoints

  • Direct secure messaging: sbalakrishnan@uvpdlv.intellechartdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1639306343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021511",
            "telephone_number": "502-852-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "SHARMINI",
        "middle_name": "ASHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "47077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.