Shailesh Balasubramanian
NPI 1164748562 · Pulmonary Disease Physician · Santa Monica, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shailesh Balasubramanian is a Pulmonary Disease Physician provider in Santa Monica, CA (NPI 1164748562).
Provider details
- NPI number
- 1164748562
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 274282 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 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
1,677 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) |
|---|---|---|
| Test to Measure Expiratory Airflow and Volume94010 | 312 | $8 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 273 | $9 |
| Test to Determine Lung Volumes Using Sensors94726 | 211 | $12 |
| Critical Care, First 30-74 Minutes99291 | 188 | $217 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 129 | $123 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 98 | $137 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 76 | 26 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 66 | 27 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 63 | 15 |
| Pantoprazole Sodium | 53 | 20 |
| Nintedanib Esylatebrand: Ofev | 34 | — |
| Azithromycin | 30 | — |
| Azelastine Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-04-12
- Last updated
- 2020-11-20
- Certified
- 2020-11-20
Frequently asked questions
- What is Shailesh Balasubramanian's NPI number?
- Shailesh Balasubramanian's National Provider Identifier (NPI) is 1164748562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shailesh Balasubramanian's specialty?
- Shailesh Balasubramanian is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Shailesh Balasubramanian located?
- Shailesh Balasubramanian's practice location on file with NPPES is 1223 16th St Ste 3400, Santa Monica, CA 90404-1279.
- What is Shailesh Balasubramanian's phone number?
- The practice phone number listed in the NPPES registry for Shailesh Balasubramanian is (310) 449-0939.
- Does Shailesh Balasubramanian accept Medicare?
- Shailesh Balasubramanian is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shailesh Balasubramanian's NPI active?
- Yes — Shailesh Balasubramanian's NPI (1164748562) is active in the NPPES registry as of the last update on 2020-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.