Vivek Baluja, M.D.
NPI 1538205539 · Neurology Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivek Baluja, M.D. is a Neurology Physician provider in Grand Rapids, MI (NPI 1538205539).
Provider details
- NPI number
- 1538205539
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2017-01338 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
33 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 18 | $124 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 15 | $122 |
Typical Medicare-allowed amounts for these services range $122–$124 (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
Additional practice locations (5)
- 9110 College Pointe CtFort Myers, FL 33919-3244Phone: (239) 208-2212Fax: (239) 208-3994
- 2214 Canterbury Dr Ste 202Hays, KS 67601-2375Phone: (785) 623-2312
- 1701 E 23rd AveHutchinson, KS 67502-9907Phone: (620) 665-2000Fax: (620) 513-3811
- 210 Medical Pavilion DrRaeford, NC 28376-9111Phone: (910) 904-8000
- 2801 N Gantenbein AvePortland, OR 97227-1623Phone: (503) 413-8407
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Vivek Baluja's NPI number?
- Vivek Baluja's National Provider Identifier (NPI) is 1538205539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vivek Baluja's specialty?
- Vivek Baluja is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Vivek Baluja located?
- Vivek Baluja's practice location on file with NPPES is 35 Michigan St Ne, Grand Rapids, MI 49503-2514.
- What is Vivek Baluja's phone number?
- The practice phone number listed in the NPPES registry for Vivek Baluja is (616) 267-2500.
- Does Vivek Baluja accept Medicare?
- Vivek Baluja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vivek Baluja's NPI active?
- Yes — Vivek Baluja's NPI (1538205539) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.