Balasubramanyan Napa, MD - Medicare Pediatrics in Urbana, IL

Balasubramanyan Napa, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3311.

Balasubramanyan Napa is licensed to practice in Illinois (license number 036141766) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932211406.

Contact Information

Balasubramanyan Napa, MD
611 W Park St,
Urbana, IL 61801-2529
(217) 383-3311
Not Available

Map and Direction




Physician's Profile

Full NameBalasubramanyan Napa
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932211406
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527047059
  • Enrollment ID: I20040914000717

Medical Identifiers

Medical identifiers for Balasubramanyan Napa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932211406NPI-NPPES
201116270AMedicaidKS
1171561MedicaidIA
45651OtherIAWELLMARK
KA2129031OtherKSMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 36232 (Wisconsin)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 32447 (Iowa)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 04-37880 (Kansas)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 036141766 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Balasubramanyan Napa allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Balasubramanyan Napa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Balasubramanyan Napa, MD
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 902-5291
Balasubramanyan Napa, MD
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 383-3311

Reviews and Comments


Pediatrics Doctors in Urbana, IL

Dr. Jacqueline Pena Velasco, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3088    Fax: 217-383-4468
Sarah J Willard, MD
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Medicare: Medicare Enrolled
Practice Location: 1710 E Windsor Rd, Urbana, IL 61802
Phone: 217-344-9440    Fax: 217-344-4377
Jaya Wadhawan,
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Medicare: Medicare Enrolled
Practice Location: 1405 W Park St, Urbana, IL 61801
Phone: 217-560-6300    
Dr. Elizabeth A Bello, M.D.
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Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Pediatric Critical Care Medicine, Urbana, IL 61801
Phone: 217-383-3088    
Malcolm C Hill, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1818 E Windsor Rd, Urbana, IL 61802
Phone: 217-255-9700    Fax: 217-255-9650
Dr. Pramod Mallipaddi, MD
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Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Dr. Imran Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1400 W Park St, Urbana, IL 61801
Phone: 315-350-9133    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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