Elnaz Balakhanlou, MD
NPI 1003260407 · Physical Medicine & Rehabilitation Physician · Gaithersburg, MD
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elnaz Balakhanlou, MD is a Physical Medicine & Rehabilitation Physician provider in Gaithersburg, MD (NPI 1003260407).
Provider details
- NPI number
- 1003260407
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101263166 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,767 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 1,116 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 300 | $126 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 173 | $184 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 107 | $122 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 71 | $53 |
Typical Medicare-allowed amounts for these services range $53–$184 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 27 | 25 |
| Atorvastatin Calcium | 18 | 18 |
| Gabapentin | 13 | 13 |
| Baclofen | 11 | — |
| Apixabanbrand: Eliquis | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2020-06-26
- Certified
- 2020-06-26
Frequently asked questions
- What is Elnaz Balakhanlou's NPI number?
- Elnaz Balakhanlou's National Provider Identifier (NPI) is 1003260407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elnaz Balakhanlou's specialty?
- Elnaz Balakhanlou is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Elnaz Balakhanlou located?
- Elnaz Balakhanlou's practice location on file with NPPES is 820 W Diamond Ave Ste 400, Gaithersburg, MD 20878-1469.
- What is Elnaz Balakhanlou's phone number?
- The practice phone number listed in the NPPES registry for Elnaz Balakhanlou is (301) 315-3100.
- Does Elnaz Balakhanlou accept Medicare?
- Elnaz Balakhanlou is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elnaz Balakhanlou's NPI active?
- Yes — Elnaz Balakhanlou's NPI (1003260407) is active in the NPPES registry as of the last update on 2020-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.