Doctor profile · Federal record
Dr. Shailesh Balasubramanian
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Santa Monica, CA
- NPI 1164748562
- Accepts Medicare
- MIPS 77.1 / 100 · 2023
- 16 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1223 16Th St Ste 3400
Santa Monica, CA 904041279
(310) 449-0939
fax (424) 259-7790 - Mailing address
-
5767 W Century Blvd Ste 400
Los Angeles, CA 900455631
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- November 20, 2020
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- California #A168744 · New York #274282
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164748562. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,778
Distinct HCPCS
10
Medicare allowed
$173,543
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 456 | 125 | $225 | |
94010 |
Test to measure expiratory airflow and volume | 304 | 275 | $9 | |
94729 |
Test to examine how well the lungs exchange gases | 254 | 248 | $9 | |
94726 |
Test to determine lung volumes using sensors | 164 | 163 | $13 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 94 | 56 | $127 | |
99292 |
Critical care, each additional 30 minutes | 84 | 41 | $112 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 83 | 54 | $141 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 69 | 69 | $11 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 26 | $85 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 32 | 25 | $105 |
In context: peer comparison
Among 11 peers in Santa Monica Pulmonary Disease Physician, average services per provider: 81. This provider delivers 22× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
409
Patients
79
Total drug cost
$400,593
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 71 | 26 | $692 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 55 | 20 | $1,388 |
| Pantoprazole Sodium | Generic | 52 | 19 | $835 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 37 | 14 | $26,786 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 31 | 0 | $11,984 |
| Ofev (Nintedanib Esylate) | Brand | 23 | 0 | $329,569 |
| Fluticasone-Salmeterol (Fluticasone Propion/Salmeterol) | Brand | 20 | 0 | $4,772 |
| Montelukast Sodium | Generic | 18 | 0 | $352 |
| Fluticasone Propionate | Generic | 17 | 0 | $369 |
| Azathioprine | Generic | 15 | 0 | $342 |
Hospital affiliations
Frequently asked questions
What is Dr. Shailesh Balasubramanian's medical specialty?
Dr. Shailesh Balasubramanian practices Pulmonary Disease Physician in Santa Monica, CA.
Where does Dr. Shailesh Balasubramanian practice?
Dr. Shailesh Balasubramanian practices at 1223 16Th St Ste 3400, Santa Monica, CA 904041279. Office phone: 3104490939.
What is Dr. Shailesh Balasubramanian's NPI?
Dr. Shailesh Balasubramanian's National Provider Identifier (NPI) is 1164748562, issued by NPPES.
Does Dr. Shailesh Balasubramanian accept Medicare assignment?
Yes. Dr. Shailesh Balasubramanian accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shailesh Balasubramanian commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Test to measure expiratory airflow and volume (HCPCS 94010); Test to examine how well the lungs exchange gases (HCPCS 94729). Source: CMS Medicare Physician & Other Practitioners file.