Elena Balica, M.D.
NPI 1467731091 · Hospitalist Physician · New Haven, CT
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elena Balica, M.D. is a Hospitalist Physician provider in New Haven, CT (NPI 1467731091).
Provider details
- NPI number
- 1467731091
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 052884 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 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
80 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 50 | $139 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 30 | $184 |
Typical Medicare-allowed amounts for these services range $139–$184 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-14
- Last updated
- 2014-05-19
Frequently asked questions
- What is Elena Balica's NPI number?
- Elena Balica's National Provider Identifier (NPI) is 1467731091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elena Balica's specialty?
- Elena Balica is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Elena Balica located?
- Elena Balica's practice location on file with NPPES is 20 York St, New Haven, CT 06510-3220.
- What is Elena Balica's phone number?
- The practice phone number listed in the NPPES registry for Elena Balica is (203) 688-4748.
- Does Elena Balica accept Medicare?
- Elena Balica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elena Balica's NPI active?
- Yes — Elena Balica's NPI (1467731091) is active in the NPPES registry as of the last update on 2014-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.