Quick answers
- Does Pratap Balusu accept Medicare assignment?
- Yes. Medicare's clinician data says Pratap Balusu accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Pratap Balusu see?
- In 2024, CMS data shows 369 Original Medicare patients and 872 services for Pratap Balusu. This counts Original Medicare only and measures volume, not quality.
- What is Pratap Balusu's NPI number?
- 1083607519. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Pratap Balusu, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 369 |
|---|---|
| Services billed to Medicare | 872 |
| Different services or procedures | 23 |
| Participating Medicare provider | Yes |
| Average age of these patients | 76 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)237 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)122 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)120 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)99 services
- Hospital discharge day management, more than 30 minutes (99239)89 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Ischemic heart disease66%
- Arthritis64%
- Heart failure58%
- Diabetes56%
Hospitals where Pratap Balusu works
Medicare's Facility Affiliation Data lists Pratap Balusu at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Grand Lake Health SystemSaint Marys, OH · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 360032
- Lima Memorial Health SystemLima, OH · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 360009
- Mercy Health St Ritas Medical CenterLima, OH · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 360066
Practice locations
Addresses where Pratap Balusu is enrolled with Medicare (CMS data updated October 2, 2026).
- 730 W Market StLima, OH 45801 (419) 224‑1888
- 750 W High St, Suite 250Lima, OH 45801 (419) 227‑7399
Group practices
Medicare enrollment lists Pratap Balusu as a member of these groups (CMS data updated October 2, 2026).
- Mercy Health Physicians Lima Specialty Care LLC253 clinicians in the group
- KND Development 59 LLC177 clinicians in the group
- Mercy Health Physicians Lima, LLC55 clinicians in the group
Specialties
- Internal Medicineprimary
Other internal medicine doctors in Lima
Clinicians with the same Medicare primary specialty in Lima, OH — not a recommendation.
Other clinicians in Mercy Health Physicians Lima Specialty Care LLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 1988 (38 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1083607519 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians