Dr Tara M Balija, MD - Medicare General Surgery in New York, NY

Dr Tara M Balija, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in New York, New York. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 787 11th Ave Fl 7, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 604-6000.

Dr Tara M Balija is licensed to practice in New York (license number 316133) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518284579.

Contact Information

Dr Tara M Balija, MD
787 11th Ave Fl 7,
New York, NY 10019-3584
(212) 604-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Tara M Balija
GenderFemale
SpecialityGeneral Surgery
Experience16 Years
Location787 11th Ave Fl 7, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tara M Balija graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1518284579
  • Provider Enumeration Date: 04/29/2010
  • Last Update Date: 04/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638491699
  • Enrollment ID: I20220725003140

Medical Identifiers

Medical identifiers for Dr Tara M Balija such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518284579NPI-NPPES
0431575MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 25MA09145900 (New Jersey)Secondary
2086X0206XSurgery - Surgical Oncology 316133 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack University Medical CenterHackensack, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai22646910702329

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 Tara M Balija allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750649612
PECOS PAC ID: 2264691070
Enrollment ID: O20120917000180

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 Tara M Balija 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 Tara M Balija, MD
150 E 42nd St Fl 10,
New York, NY 10017-5612

Ph: (212) 987-3100
Dr Tara M Balija, MD
787 11th Ave Fl 7,
New York, NY 10019-3584

Ph: (212) 604-6000

Reviews and Comments


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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.