Individual provider Active NPI

Dhanalakshmi Balakrishnan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Selden, NY
National Provider Identifier
1992065569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
296397 Issued in NY
Practice address
10 Arthur St
Selden, NY 11784-2122
Phone
(510) 410-0123
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
Yes

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology and Laboratory Consultants of Long Island PLLC 20 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 476-6183

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as group
Quality
80
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200330002654 NY Practitioner - Pathology 6406285295 Reassigns benefits to 1 organization
I20260625000509 FL Practitioner - Pathology 6406285295 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology and Laboratory Consultants of Long Island, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients

Locations

6390 Fly Rd
East Syracuse, NY 13057

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME179670 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 296397 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

10 Arthur St
Selden, NY 11784-2122

Mailing address

10 Arthur St
Selden, NY 11784-2122
Phone (510) 410-0123

Other practice location 1

701 6th St S
St Petersburg, FL 33701-4814
Phone (727) 893-6182

Other practice location 2

38135 Market Square Dr Ste 109
Zephyrhills, FL 33542-7505
Phone (813) 780-2155

Other practice location 3

101 Nicholls Rd
Department of Pathology, Level 2-766
Stony Brook, NY 11794-0001
Phone (631) 444-2224

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
131673300MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992065569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ARTHUR ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842122",
            "telephone_number": "510-410-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ARTHUR ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842122",
            "telephone_number": "510-410-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 6th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014814",
            "country_code": "US",
            "telephone_number": "727-893-6182",
            "fax_number": "727-893-6861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38135 Market Square Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335427505",
            "country_code": "US",
            "telephone_number": "813-780-2155",
            "fax_number": "813-355-5017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Nicholls Rd",
            "address_2": "Department of Pathology, Level 2-766",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-2224",
            "fax_number": "631-444-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "DHANALAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME179670",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "296397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131673300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

Verify at the official NPI Registry.