Shefali Ballal, M.D.
NPI 1356786727 · Anatomic Pathology & Clinical Pathology Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shefali Ballal, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Philadelphia, PA (NPI 1356786727).
Provider details
- NPI number
- 1356786727
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA09930100 (NJ)
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 tenure25% of score
13 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
1,277 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 663 | $39 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 194 | $30 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 160 | $37 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 68 | $87 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 49 | $12 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique88112 | 47 | $29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (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
- 2013-04-30
- Last updated
- 2019-09-05
Frequently asked questions
- What is Shefali Ballal's NPI number?
- Shefali Ballal's National Provider Identifier (NPI) is 1356786727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shefali Ballal's specialty?
- Shefali Ballal is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Shefali Ballal located?
- Shefali Ballal's practice location on file with NPPES is 245 N 15th St, Philadelphia, PA 19102-1101.
- What is Shefali Ballal's phone number?
- The practice phone number listed in the NPPES registry for Shefali Ballal is (215) 762-7991.
- Does Shefali Ballal accept Medicare?
- Shefali Ballal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shefali Ballal's NPI active?
- Yes — Shefali Ballal's NPI (1356786727) is active in the NPPES registry as of the last update on 2019-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.