Gowri Balachandar, MD - Medicare Gastroenterology in Plano, TX

Gowri Balachandar, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Plano, Texas. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Gastroenterology. Her current practice location is 4101 W. Spring Creek Pkwy., Suite 400, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 867-7070.

Gowri Balachandar is licensed to practice in Texas (license number K4363) 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 1669435889.

Contact Information

Gowri Balachandar, MD
4101 W. Spring Creek Pkwy., Suite 400,
Plano, TX 75024-5321
(972) 867-7070
(972) 867-7878

Map and Direction




Physician's Profile

Full NameGowri Balachandar
GenderFemale
SpecialityGastroenterology
Experience38 Years
Location4101 W. Spring Creek Pkwy., Plano, Texas
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:
  • Gowri Balachandar graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1669435889
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 03/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6709891641
  • Enrollment ID: I20101012001246

Medical Identifiers

Medical identifiers for Gowri Balachandar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669435889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology K4363 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical City PlanoPlano, TXHospital
Texas Health Presbyterian Hospital PlanoPlano, TXHospital

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. Gowri Balachandar allows following entities to bill medicare on her behalf.
Entity NameLone Star Gastroenterology, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295870152
PECOS PAC ID: 3476630039
Enrollment ID: O20080407000287

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. Gowri 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
Gowri Balachandar, MD
4101 W Spring Creek Pkwy, Suite 400,
Plano, TX 75024-5307

Ph: (972) 867-7070
Gowri Balachandar, MD
4101 W. Spring Creek Pkwy., Suite 400,
Plano, TX 75024-5321

Ph: (972) 867-7070

Reviews and Comments


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Samuel Afenir Piga, M.D.
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Dr. Maria Love Lee, M.D.
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Practice Location: 6200 W Parker Rd, Plano, TX 75093
Phone: 972-293-5151    Fax: 972-981-3967

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.