Pratap Balusu, MD
NPI 1083607519 · Internal Medicine Physician · Lima, OH
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratap Balusu, MD is a Internal Medicine Physician provider in Lima, OH (NPI 1083607519).
Provider details
- NPI number
- 1083607519
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 72413 (OH)
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
20 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
830 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 Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 237 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 122 | $113 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $121 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 99 | $164 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 89 | $108 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Warfarin Sodium | 1,158 | 265 |
| Atorvastatin Calcium | 247 | 73 |
| Levothyroxine Sodium | 159 | 38 |
| Amlodipine Besylate | 126 | 46 |
| Metformin Hcl | 119 | 29 |
| Enoxaparin Sodium | 116 | 56 |
| Empagliflozin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$143 across 3 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
- 2005-08-30
- Last updated
- 2014-10-31
Frequently asked questions
- What is Pratap Balusu's NPI number?
- Pratap Balusu's National Provider Identifier (NPI) is 1083607519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratap Balusu's specialty?
- Pratap Balusu is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pratap Balusu located?
- Pratap Balusu's practice location on file with NPPES is 750 W High St, Lima, OH 45801-3959.
- What is Pratap Balusu's phone number?
- The practice phone number listed in the NPPES registry for Pratap Balusu is (419) 227-7399.
- Does Pratap Balusu accept Medicare?
- Pratap Balusu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratap Balusu's NPI active?
- Yes — Pratap Balusu's NPI (1083607519) is active in the NPPES registry as of the last update on 2014-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.