Dr Anil R Balani, MD - Medicare Gastroenterology in Pennington, NJ

Dr Anil R Balani, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Pennington, New Jersey. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Capital Health Medical Group and his current practice location is 2 Capital Way Ste 380, Pennington, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 537-5000.

Dr Anil R Balani is licensed to practice in New Jersey (license number 25MA08408000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972779098.

Contact Information

Dr Anil R Balani, MD
2 Capital Way Ste 380,
Pennington, NJ 08534-2521
(609) 537-5000
(609) 537-5050

Map and Direction




Physician's Profile

Full NameDr Anil R Balani
GenderMale
SpecialityGastroenterology
Experience22 Years
Location2 Capital Way Ste 380, Pennington, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anil R Balani attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1972779098
  • Provider Enumeration Date: 05/08/2008
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012082407
  • Enrollment ID: I20080820000003

Medical Identifiers

Medical identifiers for Dr Anil R Balani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972779098NPI-NPPES
P00855787OtherNJRR MCR PTAN
0169781MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 236993 (New York)Secondary
207RG0100XInternal Medicine - Gastroenterology MD434248 (Pennsylvania)Secondary
207RG0100XInternal Medicine - Gastroenterology 25MA08408000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Health Medical Group7618264532364

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Anil R Balani allows following entities to bill medicare on his behalf.
Entity NameProfessional Gastroenterology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639247786
PECOS PAC ID: 7618939703
Enrollment ID: O20041101000710
Entity NameCapital Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437516887
PECOS PAC ID: 7618264532
Enrollment ID: O20160921000449

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Anil R Balani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Anil R Balani, MD
2 Capital Way Ste 456,
Pennington, NJ 08534-2521

Ph: (609) 537-5000
Dr Anil R Balani, MD
2 Capital Way Ste 380,
Pennington, NJ 08534-2521

Ph: (609) 537-5000

Reviews and Comments


Internal Medicine Doctors in Pennington, NJ

Neil Saxena, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Capital Way Ste 385, Pennington, NJ 08534
Phone: 609-303-4838    Fax: 609-303-4835
Madhuri Adabala, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Capital Way, Pennington, NJ 08534
Phone: 609-303-4000    
Mowyad Omer Elamin Khalid, M.D
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 2 Capital Way Ste 550, Pennington, NJ 08534
Phone: 609-303-4360    Fax: 609-303-4361
Rishi Patel,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Capital Way Ste 550, Pennington, NJ 08534
Phone: 609-303-4360    
Dr. Brian Adam Meltzer, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 6 E Acres Dr, Pennington, NJ 08534
Phone: 609-737-1903    Fax: 732-247-5309
Marie Antoinette Marquez, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Merrill Lynch Dr, Pennington, NJ 08534
Phone: 609-274-6000    
Anita Maraj, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Capital Way, Pennington, NJ 08534
Phone: 609-303-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.