Archana Balakrishnan, MD
NPI 1376102822 · Internal Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Archana Balakrishnan, MD is a Internal Medicine Physician provider in Philadelphia, PA (NPI 1376102822).
Provider details
- NPI number
- 1376102822
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT218245 (PA)
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
7 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
135 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 | 81 | $80 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 19 | $82 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 18 | $132 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 17 | $174 |
Typical Medicare-allowed amounts for these services range $80–$174 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21 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
- 2019-06-09
- Last updated
- 2019-06-09
Frequently asked questions
- What is Archana Balakrishnan's NPI number?
- Archana Balakrishnan's National Provider Identifier (NPI) is 1376102822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Archana Balakrishnan's specialty?
- Archana Balakrishnan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Archana Balakrishnan located?
- Archana Balakrishnan's practice location on file with NPPES is 245 N 15th St Fl 6, Philadelphia, PA 19102-1101.
- What is Archana Balakrishnan's phone number?
- The practice phone number listed in the NPPES registry for Archana Balakrishnan is (215) 762-7916.
- Does Archana Balakrishnan accept Medicare?
- Archana Balakrishnan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Archana Balakrishnan's NPI active?
- Yes — Archana Balakrishnan's NPI (1376102822) is active in the NPPES registry as of the last update on 2019-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.