Vivek Balasubramaniam, MD - Medicare Pediatrics in Madison, WI

Vivek Balasubramaniam, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Madison, Wisconsin. His current practice location is 600 Highland Ave, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 263-6420.

Vivek Balasubramaniam is licensed to practice in Wisconsin (license number 62982-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003991746.

Contact Information

Vivek Balasubramaniam, MD
600 Highland Ave,
Madison, WI 53792-0001
(608) 263-6420
(608) 263-0440

Map and Direction




Physician's Profile

Full NameVivek Balasubramaniam
GenderMale
SpecialityPediatrics - Pediatric Pulmonology
Location600 Highland Ave, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003991746
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 01/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002999281
  • Enrollment ID: I20140930003116

Medical Identifiers

Medical identifiers for Vivek Balasubramaniam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003991746NPI-NPPES
01373430MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0214XPediatrics - Pediatric Pulmonology 62982-20 (Wisconsin)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. Vivek Balasubramaniam allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435

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. Vivek Balasubramaniam 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
Vivek Balasubramaniam, MD
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -
Vivek Balasubramaniam, MD
600 Highland Ave,
Madison, WI 53792-0001

Ph: (608) 263-6420

Reviews and Comments


Pediatrics Doctors in Madison, WI

Dr. Emily Ann Forster, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792
Phone: 608-263-6400    
Dr. Daniel J Jackson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 600 Highland Ave, Csc Box 9988, Madison, WI 53792
Phone: 608-239-3515    
Dr. Elma O Sia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4410 Regent St, Madison, WI 53705
Phone: 608-233-9746    
Patricia V Staats, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1217 Gilbert Rd, Madison, WI 53711
Phone: 608-274-3636    
Michael W Ritter, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7610 Sawmill Rd, Madison, WI 53717
Phone: 608-831-1528    
Dr. Jesse Roach, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-263-6420    
Norris Glick, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 317 Knutson Drive, Madison, WI 53704
Phone: 608-301-1791    

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.