NPIMap

Individual provider Active NPI

Saravana K Balaraman, MD

  • Family Medicine Physician
  • Schuyler, NE
National Provider Identifier
1972740488
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CP656 Issued in NE
Practice address
1721 Colfax St
Schuyler, NE 68661-1400
Phone
(402) 352-3745
Fax
(402) 352-8750
NPI assigned
Jan 21, 2009
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CP656 NE Primary
Family Medicine Physician 207Q00000X 55212 MN

Addresses

Primary practice location

1721 Colfax St
Schuyler, NE 68661-1400

Mailing address

1721 Colfax St
Schuyler, NE 68661-1400
Phone (402) 352-3745

Other names 1

  • Dr. Saravana K Balaraman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120920000624 MN Practitioner - Family Practice 2365690070 Reassigns benefits to 2 organizations
I20240701004053 NE Practitioner - Family Practice 2365690070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Alegent Health Memorial Hospital SchuylerGroup PAC ID 6406765965, shared by 6 NPIs, 10 clinicians

Practice addresses (Care Compare)

1601 N 86TH St
100 CHI Health Clinic
Lincoln, NE 68505-3713
Phone (402) 328-7500

1721 Colfax St
Schuyler, NE 68661-1400
Phone (402) 352-3745

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55212MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Falls Memorial Hospital Association CurrentSince Sep 4, 2022 Accepting new patients
International Falls Memorial Hospital Association CurrentSince Sep 4, 2022 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Jan 7, 2025 Accepting new patients
Alegent Health-Memorial Hospital Schuyler CurrentSince Jul 16, 2024 Accepting new patients
Alegent Health-Memorial Hospital Schuyler Current Accepting new patients
Alegent Health Memorial Hospital Schuyler Family Medicine CurrentSince Jul 16, 2024 Accepting new patients
Creighton University Past Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

600 Main Ave S
Birchdale, MN 56623
Phone (218) 634-1655

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

1601 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 327-7500

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441

1721 Colfax St
Schuyler, NE 68661
Phone (402) 352-3745

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1972740488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 COLFAX ST",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611400",
            "telephone_number": "402-352-3745",
            "fax_number": "402-352-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 COLFAX ST",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611400",
            "telephone_number": "402-352-3745",
            "fax_number": "402-352-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALARAMAN",
        "first_name": "SARAVANA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "CP656",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "55212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAVANA",
            "last_name": "BALARAMAN",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schuyler, NE

Sources for this page

Verify at the official NPI Registry.