Ashfaq Balla, MD
NPI 1740228220 · Nephrology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ashfaq Balla, MD is a Nephrology Physician provider in Worcester, MA (NPI 1740228220).
Provider details
- NPI number
- 1740228220
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 242372 (MA)
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
881 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 264 | $79 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $129 |
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 97 | $301 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 87 | $50 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 82 | $98 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 111 | 34 |
| Amlodipine Besylate | 77 | 26 |
| Furosemide | 56 | 22 |
| Sevelamer Carbonate | 44 | — |
| Carvedilol | 41 | 14 |
| Lisinopril | 39 | 16 |
| Spironolactone | 35 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 5 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)
- 188 Worcester Providence TpkeSutton, MA 01590Phone: (508) 755-9535Fax: (508) 755-1006
- 85 Prescott StWorcester, MA 01605Phone: (508) 755-9535Fax: (508) 755-1006
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Ashfaq Balla's NPI number?
- Ashfaq Balla's National Provider Identifier (NPI) is 1740228220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ashfaq Balla's specialty?
- Ashfaq Balla is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Ashfaq Balla located?
- Ashfaq Balla's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Ashfaq Balla's phone number?
- The practice phone number listed in the NPPES registry for Ashfaq Balla is (508) 856-3155.
- Does Ashfaq Balla accept Medicare?
- Ashfaq Balla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ashfaq Balla's NPI active?
- Yes — Ashfaq Balla's NPI (1740228220) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.