GAUTAM BALAKRISHNAN MD – NPI #1609214519
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

GAUTAM BALAKRISHNAN is a physician located in SAINT JOSEPH, MO. NPPES has assigned the NPI number 1609214519 to GAUTAM BALAKRISHNAN on June 13, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 5 years ago on May 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GAUTAM BALAKRISHNAN below.

NPI Profile for
GAUTAM BALAKRISHNAN

NPI Number
1609214519
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GAUTAM BALAKRISHNAN
Credentials
MD
Primary location
5301 FARAON ST STE 210B
SAINT JOSEPH, MO 64506
Phone: (816) 271-1385 Fax: (816) 271-1379
1 Other location(s):
1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone: (515) 241-5995
Fax: (515) 241-6576
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 MO 2016023333
207R00000X
- Internal Medicine		 IA R9809

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GAUTAM BALAKRISHNAN is affiliated with the following medical group(s):
  • HOSPITAL
    • MOSAIC LIFE CARE AT ST JOSEPH
      5325 FARAON STREET
      SAINT JOSEPH, MO 64506
    • MOSAIC MEDICAL CENTER ALBANY
      705 N COLLEGE STREET
      ALBANY, MO 64402
    • SSM HEALTH ST. FRANCIS HOSPITAL- MARYVILLE
      2016 SOUTH MAIN ST
      MARYVILLE, MO 64468

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How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.