Jonathan Balakumar, MD - Medicare Emergency Medicine in Miami, FL

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Jonathan Balakumar, MD is a medicare enrolled "Emergency Medicine" physician in Miami, Florida. He went to University Of California, Geffen School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Shen Medical Group and his current practice location is 1611 Nw 12th Ave, Emergency Medicine Department, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 585-1111.

Jonathan Balakumar is licensed to practice in California (license number A157935) 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 1710340948.

Contact Information

Jonathan Balakumar, MD
1611 Nw 12th Ave, Emergency Medicine Department,
Miami, FL 33136-1005
(305) 585-1111
Not Available

Map and Direction




Physician's Profile

Full NameJonathan Balakumar
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location1611 Nw 12th Ave, Miami, Florida
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:
  • Jonathan Balakumar attended and graduated from University Of California, Geffen School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1710340948
  • Provider Enumeration Date: 04/04/2016
  • Last Update Date: 07/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7719216944
  • Enrollment ID: I20190912001583

Medical Identifiers

Medical identifiers for Jonathan Balakumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710340948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME136185 (Florida)Secondary
207P00000XEmergency Medicine A157935 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alhambra Hospital Medical CenterAlhambra, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shen Medical Group852716448222

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. Jonathan Balakumar allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameShen Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457427221
PECOS PAC ID: 8527164482
Enrollment ID: O20070509000575

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. Jonathan Balakumar 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
Jonathan Balakumar, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005

Ph: () -		Jonathan Balakumar, MD
1611 Nw 12th Ave, Emergency Medicine Department,
Miami, FL 33136-1005

Ph: (305) 585-1111

Reviews and Comments


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Miss Christine Wong,
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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).

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.