Dr Raj Ballal, MD - Medicare Cardiovascular Disease (cardiology) in Edison, NJ

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Dr Raj Ballal, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Edison, New Jersey. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Hackensack Meridian Health Medical Group - Primary Care Pc, Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is 98 James St, Suite 300, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 548-2523.

Dr Raj Ballal is licensed to practice in New Jersey (license number MA65996) 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 1386645638.

Contact Information

Dr Raj Ballal, MD
98 James St, Suite 300,
Edison, NJ 08820-3902
(732) 548-2523
(732) 549-8827

Map and Direction




Physician's Profile

Full NameDr Raj Ballal
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience42 Years
Location98 James St, Edison, 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 Raj Ballal graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1386645638
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 01/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2365577061
  • Enrollment ID: I20100319000696

Medical Identifiers

Medical identifiers for Dr Raj Ballal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386645638NPI-NPPES
7560605MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MA65996 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jfk Medical CenterEdison, NJHospital
Hackensack University Medical CenterHackensack, NJHospital
Robert Wood Johnson University HospitalNew brunswick, NJHospital
Raritan Bay Medical Center Perth Amboy DivisionPerth amboy, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Primary Care Pc7911003330273
Hackensack Meridian Health Medical Group - Specialty Care Pc91330325191090

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 Raj Ballal allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameCommunity Hospital Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225251754
PECOS PAC ID: 3971415209
Enrollment ID: O20031120000589
Entity NameHackensack Meridian Health Medical Group - Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336203538
PECOS PAC ID: 7911003330
Enrollment ID: O20070502000000
Entity NameHmh Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356016661
PECOS PAC ID: 9032181847
Enrollment ID: O20220304001385

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 Raj Ballal 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 Raj Ballal, MD
622 Georges Rd, Suite 303,
North Brunswick, NJ 08902-3377

Ph: (732) 745-4994		Dr Raj Ballal, MD
98 James St, Suite 300,
Edison, NJ 08820-3902

Ph: (732) 548-2523

Reviews and Comments


Internal Medicine Doctors in Edison, NJ

Dr. Vasilios Velmahos, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 113 James St, Edison, NJ 08820
Phone: 732-906-1900    Fax: 732-906-6666
Dr. Pankaj Gupta, MD, MBA
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 31 Southfield Rd, Edison, NJ 08820
Phone: 860-989-8829    
Dr. Howard S. Cohen, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 98 James St, Suite 313, Edison, NJ 08820
Phone: 732-635-0916    Fax: 732-494-4907
Dr. Malvin S Keller, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 225 May St, Suite F, Edison, NJ 08837
Phone: 732-738-8855    Fax: 732-738-4141
Charumathi Rathnakumar, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 35 Progress St, Suite A-4, Edison, NJ 08820
Phone: 732-514-9624    Fax: 732-377-3767
Anil Kumar Singh, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1740 Oak Tree Rd Ste B, Edison, NJ 08820
Phone: 732-494-5000    Fax: 732-494-6698
Dr. Aron A Barsky, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4 Ethel Rd, Suite 405b, Edison, NJ 08817
Phone: 732-287-0255    Fax: 732-287-0355

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.