Aseem Balhara, M.D.
NPI 1811374713 · Hospitalist Physician · Washington, DC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aseem Balhara, M.D. is a Hospitalist Physician provider in Washington, DC (NPI 1811374713).
Provider details
- NPI number
- 1811374713
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MT208195 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
333 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 | 152 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 96 | $108 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 85 | $162 |
Typical Medicare-allowed amounts for these services range $74–$162 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 28 | 28 |
| Azithromycin | 22 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 21 | 19 |
| Ciprofloxacin Hcl | 13 | 13 |
| Furosemide | 13 | 13 |
| Pantoprazole Sodium | 11 | — |
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 , 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.
$9 across 1 record (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 (1)
- 420 S 5th AveWest Reading, PA 19611-2143Phone: (484) 628-8855Fax: (484) 628-8390
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2018-08-29
Frequently asked questions
- What is Aseem Balhara's NPI number?
- Aseem Balhara's National Provider Identifier (NPI) is 1811374713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Aseem Balhara's specialty?
- Aseem Balhara is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Aseem Balhara located?
- Aseem Balhara's practice location on file with NPPES is 1310 Southern Ave Se, Washington, DC 20032.
- What is Aseem Balhara's phone number?
- The practice phone number listed in the NPPES registry for Aseem Balhara is (202) 574-5323.
- Does Aseem Balhara accept Medicare?
- Aseem Balhara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Aseem Balhara's NPI active?
- Yes — Aseem Balhara's NPI (1811374713) is active in the NPPES registry as of the last update on 2018-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.