Dr Shefali Sudhir Ballal, MD - Medicare Pathology in Philadelphia, PA

Dr Shefali Sudhir Ballal, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Philadelphia, Pennsylvania. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Capital Health Medical Group and her current practice location is 245 N 15th St, New College Building, Dept Of Pathology, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 762-7991.

Dr Shefali Sudhir Ballal is licensed to practice in New Jersey (license number 25MA09930100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356786727.

Contact Information

Dr Shefali Sudhir Ballal, MD
245 N 15th St, New College Building, Dept Of Pathology,
Philadelphia, PA 19102-1101
(215) 762-7991
(215) 762-7002

Map and Direction




Physician's Profile

Full NameDr Shefali Sudhir Ballal
GenderFemale
SpecialityPathology
Experience25 Years
Location245 N 15th St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shefali Sudhir Ballal graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1356786727
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 09/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608149562
  • Enrollment ID: I20170829002655

Medical Identifiers

Medical identifiers for Dr Shefali Sudhir Ballal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356786727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0500XPathology - Cytopathology 25MA09930100 (New Jersey)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA09930100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Health Medical Group7618264532366

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 Shefali Sudhir Ballal allows following entities to bill medicare on her behalf.
Entity NameRutgers Health-rwj Pathology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538173539
PECOS PAC ID: 8921090663
Enrollment ID: O20040401000743
Entity NameDigestive Healthcare Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255318085
PECOS PAC ID: 8224007497
Enrollment ID: O20040927000032
Entity NameCapital Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437516887
PECOS PAC ID: 7618264532
Enrollment ID: O20160921000449

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 Shefali Sudhir Ballal 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 Shefali Sudhir Ballal, MD
2 Saint Meena Ave,
Manahawkin, NJ 08050-5600

Ph: (718) 887-4746
Dr Shefali Sudhir Ballal, MD
245 N 15th St, New College Building, Dept Of Pathology,
Philadelphia, PA 19102-1101

Ph: (215) 762-7991

Reviews and Comments


Pathology Doctors in Philadelphia, PA

Jason Nathaniel Rosenbaum, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 800 Spruce St, Philadelphia, PA 19107
Phone: 215-829-3000    Fax: 215-829-7564
Donghwa Baek,
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Spruce St, Philadelphia, PA 19104
Phone: 215-316-5151    
Dr. Vivianna Maia Van Deerlin, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104
Phone: 215-662-6550    Fax: 215-662-7529
Zissimos Mourelatos, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Spruce St, Philadelphia, PA 19107
Phone: 215-829-3000    Fax: 215-829-7564
Mariusz A Wasik, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 333 Cottman Ave, Philadelphia, PA 19111
Phone: 215-728-3675    Fax: 215-728-2848
Adrienne Catharine Carruth Griffin, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104
Phone: 215-662-4829    
Tirumala Lakshmi Kumari Pentakota, M.D
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102
Phone: 215-762-1179    

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.