Individual provider

Balaji Pratap, MD

Cardiovascular Disease Physician Medicare enrolled

Balaji Pratap, MD is a Cardiovascular Disease Physician in Middletown, NY, registered under NPI 1063725471.

Getting there

The practice address on file is 155 CRYSTAL RUN RD, Middletown, NY 10941. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

155 CRYSTAL RUN RD, Middletown, NY 10941 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
271989 NY Cardiovascular Disease Physician primary

This provider holds licence 271989 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Cardiovascular Disease (cardiology)
PAC ID
7517254535

Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiovascular Disease (cardiology). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Cardiovascular Disease covers

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063725471 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 15, 2010
Last updatedNov 18, 2016
StatusActive
Sole proprietorNo
CredentialMD
Practice address 155 CRYSTAL RUN RD
Middletown, NY 10941
(845) 703-6999
Fax (845) 703-6297
This record was last updated on Nov 18, 2016, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063725471 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 7 2 5 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 5 2 1 4 5

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063725471?
NPI 1063725471 is the National Provider Identifier assigned to Balaji Pratap, MD in Middletown, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Cardiovascular Disease cover?
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
How do I contact Balaji Pratap, MD?
The phone number on file with NPPES is (845) 703-6999, last updated Nov 18, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Balaji Pratap, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063725471 a valid number?
Yes. 1063725471 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.