Individual provider

Shailesh Balasubramanian

Pulmonary Disease Physician Internal Medicine Physician Medicare enrolled

Shailesh Balasubramanian is a Pulmonary Disease Physician in Santa Monica, CA, registered under NPI 1164748562. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1223 16TH ST STE 3400, Santa Monica, CA 90404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1223 16TH ST STE 3400, Santa Monica, CA 90404 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A168744 CA Pulmonary Disease Physician primary
274282 NY Internal Medicine Physician

Licences are recorded in 2 states: CA, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pulmonary Disease
PAC ID
3173749306
Enrollment ID
I20200710001079

Medicare enrolment is recorded as approved under the provider type Practitioner - Pulmonary Disease. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and New York. The practice address on file is in Santa Monica, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
A168744
Specialty
Pulmonary Disease Physician
Verify with the CA board →
NY New York
Licence
274282
Specialty
Internal Medicine Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pulmonary Disease covers

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RP1001X Pulmonary Disease Physician Pulmonary Disease A168744 CA primary
207R00000X Internal Medicine Physician 274282 NY

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.

NPI1164748562 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 12, 2010
Last updatedNov 20, 2020
StatusActive
Sole proprietorYes
Practice address 1223 16TH ST STE 3400
Santa Monica, CA 90404
(310) 449-0939
Fax (424) 259-7790
Mailing address 5767 W CENTURY BLVD STE 400
Los Angeles, CA 90045
The last update on file is Nov 20, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1164748562 passes the NPI check digit test The final digit 2 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 1 6 4 7 4 8 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 5 4 7 5 3

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

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 1164748562?
NPI 1164748562 is the National Provider Identifier assigned to Shailesh Balasubramanian in Santa Monica, CA. 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 Pulmonary Disease cover?
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
How do I contact Shailesh Balasubramanian?
The phone number on file with NPPES is (310) 449-0939, last updated Nov 20, 2020. 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 Shailesh Balasubramanian 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 1164748562 a valid number?
Yes. 1164748562 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.