Arvind Balavenkataraman, M.D.
NPI 1275813354 · Pulmonary Disease Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arvind Balavenkataraman, M.D. is a Pulmonary Disease Physician provider in Jacksonville, FL (NPI 1275813354).
Provider details
- NPI number
- 1275813354
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME149843 (FL)
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
14 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
83 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 48 | $211 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 21 | $175 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 14 | $125 |
Typical Medicare-allowed amounts for these services range $125–$211 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 35 | 21 |
| Mycophenolate Mofetil | 17 | — |
| Albuterol Sulfatebrand: Ventolin Hfa | 16 | 11 |
| Azithromycin | 15 | 11 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 14 | — |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 14 | — |
| Fluticasone/Vilanterol |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-22
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Frequently asked questions
- What is Arvind Balavenkataraman's NPI number?
- Arvind Balavenkataraman's National Provider Identifier (NPI) is 1275813354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Arvind Balavenkataraman's specialty?
- Arvind Balavenkataraman is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Arvind Balavenkataraman located?
- Arvind Balavenkataraman's practice location on file with NPPES is 655 W 8th St, Jacksonville, FL 32209-6511.
- What is Arvind Balavenkataraman's phone number?
- The practice phone number listed in the NPPES registry for Arvind Balavenkataraman is (904) 244-0411.
- Does Arvind Balavenkataraman accept Medicare?
- Arvind Balavenkataraman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Arvind Balavenkataraman's NPI active?
- Yes — Arvind Balavenkataraman's NPI (1275813354) is active in the NPPES registry as of the last update on 2024-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.