Dr Karai P Balaji, MD - Medicare Internal Medicine in Avon, NY

Dr Karai P Balaji, MD is a medicare enrolled "Internal Medicine" physician in Avon, New York. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Highland Hospital Of Rochester and his current practice location is 470 Collins St, Avon, New York. You can reach out to his office (for appointments etc.) via phone at (585) 226-2640.

Dr Karai P Balaji is licensed to practice in New York (license number 209758) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225074909.

Contact Information

Dr Karai P Balaji, MD
470 Collins St,
Avon, NY 14414-1466
(585) 226-2640
(585) 226-2206

Map and Direction




Physician's Profile

Full NameDr Karai P Balaji
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location470 Collins St, Avon, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Karai P Balaji graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1225074909
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214066794
  • Enrollment ID: I20100520000921

Medical Identifiers

Medical identifiers for Dr Karai P Balaji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225074909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 209758 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Highland HospitalRochester, NYHospital
Strong Memorial HospitalRochester, NYHospital
Nicholas H Noyes Memorial HospitalDansville, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Highland Hospital Of Rochester5496641631318

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 Karai P Balaji allows following entities to bill medicare on his behalf.
Entity NameHighland Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972548568
PECOS PAC ID: 5496641631
Enrollment ID: O20040225000444
Entity NameUniversity Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20130619000286

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 Karai P Balaji 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 Karai P Balaji, MD
601 Elmwood Ave, Box 278980,
Rochester, NY 14642-0001

Ph: () -
Dr Karai P Balaji, MD
470 Collins St,
Avon, NY 14414-1466

Ph: (585) 226-2640

Reviews and Comments


Internal Medicine Doctors in Avon, NY

Dr. Shantonu Ghosh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 470 Collins St, Avon, NY 14414
Phone: 585-226-2640    Fax: 585-226-2206

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.