Priya Balakrishnan, P.A.-C.
NPI 1528342342 · Medical Physician Assistant · Bedford, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Balakrishnan, P.A.-C. is a Medical Physician Assistant provider in Bedford, TX (NPI 1528342342).
Provider details
- NPI number
- 1528342342
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- License
- K3302 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
653 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) |
|---|---|---|
| Automated Urinalysis Test81003 | 182 | $2 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 144 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 88 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 87 | $107 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 73 | $14 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 447 | 193 |
| Mirabegronbrand: Myrbetriq | 306 | 94 |
| Methenamine Hippurate | 259 | 94 |
| Finasteride | 220 | 87 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 185 | 93 |
| Solifenacin Succinate | 159 | 63 |
| Cephalexin | 137 | 64 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$953 across 46 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
Additional practice locations (2)
- 1631 Lancaster DrSuite 350Grapevine, TX 76051-3585Phone: (817) 784-8268Fax: (817) 421-2167
- 4300 City Point Dr Ste 201North Richland Hills, TX 76180-8338Phone: (817) 284-8222Fax: (817) 595-5718
Registry dates
- Enumerated
- 2011-09-29
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Priya Balakrishnan's NPI number?
- Priya Balakrishnan's National Provider Identifier (NPI) is 1528342342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Balakrishnan's specialty?
- Priya Balakrishnan is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Priya Balakrishnan located?
- Priya Balakrishnan's practice location on file with NPPES is 1615 Hospital Pkwy Ste 204, Bedford, TX 76022-5936.
- What is Priya Balakrishnan's phone number?
- The practice phone number listed in the NPPES registry for Priya Balakrishnan is (817) 784-8268.
- Does Priya Balakrishnan accept Medicare?
- Priya Balakrishnan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Balakrishnan's NPI active?
- Yes — Priya Balakrishnan's NPI (1528342342) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.