Balaji Pratap, MD
NPI 1063725471 · Cardiovascular Disease Physician · Middletown, NY
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Balaji Pratap, MD is a Cardiovascular Disease Physician provider in Middletown, NY (NPI 1063725471).
Provider details
- NPI number
- 1063725471
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 271989 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
9,896 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 4,128 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 926 | $130 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 918 | $172 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 758 | $86 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 580 | $9 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 73 | 26 |
| Valsartan | 67 | 21 |
| Furosemide | 59 | 26 |
| Apixabanbrand: Eliquis | 58 | 23 |
| Atorvastatin Calcium | 57 | 24 |
| Amlodipine Besylate | 51 | 25 |
| Metoprolol Tartrate | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,376 across 56 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-15
- Last updated
- 2016-11-18
Frequently asked questions
- What is Balaji Pratap's NPI number?
- Balaji Pratap's National Provider Identifier (NPI) is 1063725471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Balaji Pratap's specialty?
- Balaji Pratap is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Balaji Pratap located?
- Balaji Pratap's practice location on file with NPPES is 155 Crystal Run Rd, Middletown, NY 10941-4028.
- What is Balaji Pratap's phone number?
- The practice phone number listed in the NPPES registry for Balaji Pratap is (845) 703-6999.
- Does Balaji Pratap accept Medicare?
- Balaji Pratap is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Balaji Pratap's NPI active?
- Yes — Balaji Pratap's NPI (1063725471) is active in the NPPES registry as of the last update on 2016-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.