Dr Divya Balachandar, MD - Medicare Pediatrics in Bronx, NY

Dr Divya Balachandar, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Bronx, New York. Her current practice location is 1065 Southern Boulevard, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 589-2440.

Dr Divya Balachandar is licensed to practice in New York (license number 271672) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528225513.

Contact Information

Dr Divya Balachandar, MD
1065 Southern Boulevard,
Bronx, NY 10459
(718) 589-2440
(718) 893-9018

Map and Direction




Physician's Profile

Full NameDr Divya Balachandar
GenderFemale
SpecialityPediatrics - Pediatric Pulmonology
Location1065 Southern Boulevard, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528225513
  • Provider Enumeration Date: 05/19/2008
  • Last Update Date: 05/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658594247
  • Enrollment ID: I20140529001401

Medical Identifiers

Medical identifiers for Dr Divya Balachandar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528225513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 271672 (New York)Secondary
2080P0214XPediatrics - Pediatric Pulmonology 271672 (New York)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. Dr Divya Balachandar allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameUrban Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265596548
PECOS PAC ID: 3173517281
Enrollment ID: O20040412001518

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. Dr Divya Balachandar 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
Dr Divya Balachandar, MD
1065 Southern Boulevard,
Bronx, NY 10459

Ph: (718) 589-2440
Dr Divya Balachandar, MD
1065 Southern Boulevard,
Bronx, NY 10459

Ph: (718) 589-2440

Reviews and Comments


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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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