Anil Balani, M.D.
NPI 1972779098 · Gastroenterology Physician · Pennington, NJ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anil Balani, M.D. is a Gastroenterology Physician provider in Pennington, NJ (NPI 1972779098).
Provider details
- NPI number
- 1972779098
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 236993 (NY)
Specialties & taxonomies
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 tenure25% of score
18 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
274 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 | 72 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $138 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 49 | $121 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 35 | $278 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 34 | $139 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 74 | 72 |
| Ustekinumabbrand: Stelara | 74 | 11 |
| Pantoprazole Sodium | 62 | 19 |
| Omeprazole | 54 | 13 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 44 | 43 |
| Mesalamine | 42 | — |
| Esomeprazole Magnesium | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$26,573 across 30 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 (1)
- 1939 Route 70 ESuite 250Cherry Hill, NJ 08003-4505Phone: (856) 429-4433Fax: (856) 424-6732
Registry dates
- Enumerated
- 2008-05-08
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Frequently asked questions
- What is Anil Balani's NPI number?
- Anil Balani's National Provider Identifier (NPI) is 1972779098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anil Balani's specialty?
- Anil Balani is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Anil Balani located?
- Anil Balani's practice location on file with NPPES is 2 Capital Way Ste 380, Pennington, NJ 08534-2521.
- What is Anil Balani's phone number?
- The practice phone number listed in the NPPES registry for Anil Balani is (609) 537-5000.
- Does Anil Balani accept Medicare?
- Anil Balani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anil Balani's NPI active?
- Yes — Anil Balani's NPI (1972779098) is active in the NPPES registry as of the last update on 2020-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.