Doctor profile · Federal record

Dr. Shefali Ballal, M.D.

Anatomic Pathology & Clinical Pathology Physician (CMS: Pathology) · Cytopathology Physician · Philadelphia, PA

  • NPI 1356786727
  • Accepts Medicare
  • MIPS 88.4 / 100 · 2023
  • 27 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
245 N 15Th St, New College Building, Dept of Pathology
Philadelphia, PA 191021101
(215) 762-7991
fax (215) 762-7002
Mailing address
2 Saint Meena Ave
Manahawkin, NJ 080505600

Credentials & registration

NPPES · NUCC
NPI registered
April 2013 — 13 yrs on file
Profile last updated
September 5, 2019
Year of graduation
1999 — 27 yrs since
Specialty taxonomy
207ZP0102X — NUCC code
State license (1)
New Jersey #25MA09930100

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1356786727. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,397
Distinct HCPCS
10
Medicare allowed
$52,143
HCPCS Description Services Patients Avg allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity 603 252 $38
88341 Special stained specimen slides to examine tissue, each additional procedure 279 60 $30
88342 Special stained specimen slides to examine tissue, initial procedure 182 127 $36
88307 Pathology examination of tissue using a microscope, moderately high complexity 98 32 $79
88304 Pathology examination of tissue using a microscope, moderately low complexity 62 52 $12
88173 Evaluation of fine needle aspirate with interpretation and report 42 27 $68
88112 Cell examination of specimen, selective cellular enhancement technique 41 36 $29
88360 Microscopic genetic analysis of tumor, manual 28 11 $39
88300 Pathology examination of tissue using a microscope, limited examination 22 21 $5
88311 Preparation of tissue for examination by removing any calcium present 21 20 $13

In context: peer comparison

Among 58 peers in Philadelphia Anatomic Pathology & Clinical Pathology Physician, average services per provider: 143. This provider delivers 9.8× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$17
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Lilly USA, LLC 1 $17.32

By nature of payment

Food and Beverage
$17

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Shefali Ballal's medical specialty?
Dr. Shefali Ballal practices Anatomic Pathology & Clinical Pathology Physician in Philadelphia, PA.
Where does Dr. Shefali Ballal practice?
Dr. Shefali Ballal practices at 245 N 15Th St, Philadelphia, PA 191021101. Office phone: 2157627991.
What is Dr. Shefali Ballal's NPI?
Dr. Shefali Ballal's National Provider Identifier (NPI) is 1356786727, issued by NPPES.
Does Dr. Shefali Ballal accept Medicare assignment?
Yes. Dr. Shefali Ballal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shefali Ballal commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Special stained specimen slides to examine tissue, each additional procedure (HCPCS 88341); Special stained specimen slides to examine tissue, initial procedure (HCPCS 88342). Source: CMS Medicare Physician & Other Practitioners file.