Active NPI
Balakrishnan Pillai
- Student in an Organized Health Care Education/Training Program
- Dallas, TX
National Provider Identifier
1922636547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- V0510
- Practice address
- 5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-5133 - Phone
- (214) 648-3433
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A186429 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | V0510 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-5133
Mailing address
2244 Ashley Crossing Dr Unit 435
Charleston, SC 29414-6084
Phone (843) 737-3928
Other practice location 1
300 Pasteur Drive, Lane 154
Stanford, CA 94305-5133
Phone (650) 723-6661
Other practice location 2
4150 Clement St
San Francisco, CA 94121-5133
Phone (415) 221-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186429 | CA | MD | Internal Medicine Physician |
| V0510 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1922636547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 ASHLEY CROSSING DR UNIT 435",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294146084",
"telephone_number": "843-737-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753905133",
"telephone_number": "214-648-3433"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Drive, Lane 154",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943055133",
"country_code": "US",
"telephone_number": "650-723-6661",
"fax_number": "650-498-6205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 Clement St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941215133",
"country_code": "US",
"telephone_number": "415-221-4810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILLAI",
"first_name": "BALAKRISHNAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A186429",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "V0510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.