Shailesh Balasubramanian
NPI 1164748562ActiveIndividual· Internal Medicine, Pulmonary Disease· Santa Monica, CA
Internal Medicine, Pulmonary Disease with The Regents of the University of California, practicing in Santa Monica, California. Their prescriptions cost Medicare Part D more than their services did: $685,419 for 683 claims, against $95,735 paid for services in 2024. Lists Ronald Reagan UCLA Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1164748562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2010 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | A168744 | CA |
| Internal Medicine | 207R00000X | 274282 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 642 |
|---|---|
| Services billed | 1,780 across 40 procedure codes |
| Paid by Medicare | $95,735 |
Part D prescriptions in 2024
| Prescriptions (claims) | 683 · 1,090 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $685,419 |
| Generic share | 59% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists) |
| Telehealth | Offers telehealth |
Medical group
- The Regents of the University of CaliforniaSanta Monica, CA · 1,462 clinicians
Hospital affiliations
- Ronald Reagan UCLA Medical CenterLos Angeles, CA
- Saint John's Health CenterSanta Monica, CA
- Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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