DR. NIVAS BALASUBRAMANIYAM (NPI# 1306179643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306179643 |
| Entity Type | Individual |
| Full Name | DR. NIVAS BALASUBRAMANIYAM |
| Credential | MD |
| Practice Address |
1116 N 16th St Lafayette IN 47904-2119 |
| Practice Telephone | (765) 448-8000 |
| Mailing Telephone | (765) 448-8000 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01078328A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300004342 | 05 | |
| ANTHEM PROVIDER NUMBER | 000001090890 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1190 5th Ave, Mount Sinai Medical Center Interventional Cardiology, New York, NY 100296503 | 2122415136 |
| Street Address |
1116 N 16TH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370991 | Corby Louise Thiel | Nurse Practitioner | 1116 N 16th St, Lafayette, IN 47904-2119 | 2006-03-14 |
| 1790334118 | Cody Levi Nelson | Nurse Practitioner | 1116 N 16th St, Lafayette, IN 47904-2119 | 2019-09-09 |
| 1225500747 | Genoia Beth Segal | Registered Nurse | 1116 N 16th St, Lafayette, IN 47904-2119 | 2018-12-21 |
| 1417444944 | Ashley Turner | Nurse Practitioner | 1116 N 16th St, Lafayette, IN 47904 | 2018-04-19 |
| 1821596040 | Elizabeth Ann Lana | Registered Nurse | 1116 N 16th St, Lafayette, IN 47904-2119 | 2018-01-23 |
| 1255846697 | Kelli Ann Conlon | Social Worker | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-12-07 |
| 1750896569 | Mick A Schoenradt | Counselor | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-12-04 |
| 1255869319 | Amanda Marie Crosby | Dietitian, Registered | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-06-01 |
| 1962939652 | Anne Caroline Johnson | Physical Therapist | 1116 N 16th St, Lafayette, IN 47904-2119 | 2017-05-12 |
| 1154705002 | Mary C Eberle | Social Worker | 1116 N 16th St, Lafayette, IN 47904-2119 | 2015-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720423478 | Lafayette Cardiovascular Center of Excellence,llc | Internal Medicine | 318 Guilbeau Rd, Lafayette, LA 70506-6914 | 2013-05-08 |
| 1073820676 | Nurtured Heart, LLC | Internal Medicine | 324 Settlers Trace Blvd, Lafayette, LA 70508-6060 | 2010-09-03 |
| 1447542360 | Kevin Courville, M.d. | Internal Medicine | 935 Camellia Blvd, Suite 103, Lafayette, LA 70508-7084 | 2011-05-11 |
| 1285933168 | Barkers Cardiovascular Center LLC | Internal Medicine | 4212 W Congress St, Ste 1800 A, Lafayette, LA 70506-6765 | 2011-03-18 |
| 1144458027 | Amit Navinchandra Amin | Internal Medicine | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2009-06-30 |
| 1881863553 | Cardiology Specialists of Acadiana, LLC | Internal Medicine | 315 Rue Louis Xiv, Lafayette, LA 70508-5734 | 2008-02-26 |
| 1447446844 | Smita Indrasingh Negi | Internal Medicine | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2007-09-19 |
| 1700920592 | David R Kinnard | Internal Medicine | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710485594 | Optimal Health Network of Indiana LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1205275948 | Benjamin Thomas Maatman | Internal Medicine | 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 | 2013-06-16 |
| 1730389586 | Akhtar Parvaiz Md | Internal Medicine | 1951 W 45th Ave, Griffith, IN 46319-3703 | 2007-07-20 |
| 1225058787 | William E Lehmkuhler, M.d. P.C. | Internal Medicine | 950 Memorial Dr, Jasper, IN 47546-2625 | 2006-07-20 |
| 1326073586 | Srinivasarao Manchikalapudi | Internal Medicine | 2109 Green Valley Rd, New Albany, IN 47150 | 2006-07-12 |
| 1548233158 | Kingsley Annan | Internal Medicine | 1928 S Dixon Rd, Kokomo, IN 46902-7302 | 2006-02-13 |
| 1194724377 | Eric F Schulte | Internal Medicine | 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 | 2005-07-19 |
| 1386283281 | Seyal Cardiology LLC | Internal Medicine | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-12-26 |
| 1710440839 | 1st Choice Cardiovascular Associates LLC | Internal Medicine | 701 Superior Ave Ste J, Munster, IN 46321-4038 | 2019-04-08 |
| 1972065415 | Cind Care of In II, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.