Raj Ballal, M.D.
NPI 1386645638 · Cardiovascular Disease Physician · Edison, NJ
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raj Ballal, M.D. is a Cardiovascular Disease Physician provider in Edison, NJ (NPI 1386645638).
Provider details
- NPI number
- 1386645638
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA65996 (NJ)
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
2,802 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 1,476 | $9 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 949 | $87 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 145 | $144 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 75 | $75 |
| Insertion of Tube in Left Lower Heart Chamber and Coronary Artery for Diagnosis With Review By Radiologist93458 | 45 | $272 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,793 across 133 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
- 2005-08-09
- Last updated
- 2010-01-14
Frequently asked questions
- What is Raj Ballal's NPI number?
- Raj Ballal's National Provider Identifier (NPI) is 1386645638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raj Ballal's specialty?
- Raj Ballal is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Raj Ballal located?
- Raj Ballal's practice location on file with NPPES is 98 James St, Edison, NJ 08820-3902.
- What is Raj Ballal's phone number?
- The practice phone number listed in the NPPES registry for Raj Ballal is (732) 548-2523.
- Does Raj Ballal accept Medicare?
- Raj Ballal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raj Ballal's NPI active?
- Yes — Raj Ballal's NPI (1386645638) is active in the NPPES registry as of the last update on 2010-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.