Mala Balakumar, MD
NPI 1710913009 · Colon & Rectal Surgery Physician · Garden City, NY
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mala Balakumar, MD is a Colon & Rectal Surgery Physician provider in Garden City, NY (NPI 1710913009).
Provider details
- NPI number
- 1710913009
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 193074 (NY)
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
19 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
741 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 217 | $104 |
| Diagnostic Exam of Anus Using an Endoscope46600 | 103 | $139 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 79 | $191 |
| Initial Repair of Anal Tear With Dilation of Anal Muscle46940 | 70 | $313 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 65 | $146 |
| Diagnostic Exam of Rectum and Lower Large Bowel Using an Endoscope45300 | 58 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocortisone | 60 | 47 |
| Metronidazole | 20 | 18 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 16 | 15 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 16 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$555 across 6 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
- 2006-06-25
- Last updated
- 2014-09-02
Frequently asked questions
- What is Mala Balakumar's NPI number?
- Mala Balakumar's National Provider Identifier (NPI) is 1710913009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mala Balakumar's specialty?
- Mala Balakumar is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mala Balakumar located?
- Mala Balakumar's practice location on file with NPPES is 1100 Franklin Ave, Garden City, NY 11530-3221.
- What is Mala Balakumar's phone number?
- The practice phone number listed in the NPPES registry for Mala Balakumar is (516) 248-2422.
- Does Mala Balakumar accept Medicare?
- Mala Balakumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mala Balakumar's NPI active?
- Yes — Mala Balakumar's NPI (1710913009) is active in the NPPES registry as of the last update on 2014-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.