Quick answers
- Does Karai P. Balaji accept Medicare assignment?
- Yes. Medicare's clinician data says Karai P. Balaji 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 Karai P. Balaji see?
- In 2024, CMS data shows 141 Original Medicare patients and 771 services for Karai P. Balaji. This counts Original Medicare only and measures volume, not quality.
- What is Karai P. Balaji's NPI number?
- 1225074909. 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 Karai P. Balaji, 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 | 141 |
|---|---|
| Services billed to Medicare | 771 |
| Different services or procedures | 19 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)290 services
- Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)191 services
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)110 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)47 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 cholesterol75%
- High blood pressure69%
- Arthritis33%
- Diabetes28%
- Anxiety23%
- Ischemic heart disease21%
Hospitals where Karai P. Balaji works
Medicare's Facility Affiliation Data lists Karai P. Balaji 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.
- Highland HospitalRochester, NY · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 330164
- Nicholas H Noyes Memorial HospitalDansville, NY · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 330238
- Strong Memorial HospitalRochester, NY · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 330285
Practice locations
Addresses where Karai P. Balaji is enrolled with Medicare (CMS data updated October 2, 2026).
- 470 Collins StAvon, NY 14414 (585) 226‑2640
Group practices
Medicare enrollment lists Karai P. Balaji as a member of this group (CMS data updated October 2, 2026).
- Highland Hospital of Rochester411 clinicians in the group
Specialties
- Internal Medicineprimary
Other internal medicine doctors in Avon
Clinicians with the same Medicare primary specialty in Avon, NY — not a recommendation.
Other clinicians in Highland Hospital of Rochester
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Graduation year | 1985 (41 years since medical school) |
|---|---|
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| Telehealth | Offers telehealth services |
| NPI (National Provider Identifier) | 1225074909 |
| 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