Usha Balmuri, MD - Medicare Family Practice in Rock Hill, SC

Usha Balmuri, MD is a medicare enrolled "Family Medicine" physician in Rock Hill, South Carolina. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is 1656 Riverchase Blvd, Ste 2400, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 329-5131.

Usha Balmuri is licensed to practice in North Carolina (license number 2016-01747) 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 1578905154.

Contact Information

Usha Balmuri, MD
1656 Riverchase Blvd, Ste 2400,
Rock Hill, SC 29732-2084
(803) 329-5131
Not Available

Map and Direction




Physician's Profile

Full NameUsha Balmuri
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location1656 Riverchase Blvd, Rock Hill, South Carolina
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:
  • Usha Balmuri graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1578905154
  • Provider Enumeration Date: 07/23/2013
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698063378
  • Enrollment ID: I20161012001984

Medical Identifiers

Medical identifiers for Usha Balmuri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578905154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2016-01747 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Piedmont Medical CenterRock hill, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551605

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. Usha Balmuri allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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. Usha Balmuri 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
Usha Balmuri, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Usha Balmuri, MD
1656 Riverchase Blvd, Ste 2400,
Rock Hill, SC 29732-2084

Ph: (803) 329-5131

Reviews and Comments


Family Medicine Doctors in Rock Hill, SC

Salvatore Franco Bianco, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1393 Celanese Rd, Rock Hill, SC 29732
Phone: 803-329-3103    Fax: 803-327-7937
Brittany Lauren Hozik, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732
Phone: 803-329-5131    
Dr. James Lee Jewell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1147 Ebenezer Rd, Rock Hill, SC 29732
Phone: 803-329-6648    Fax: 803-985-4134
Stephen Ryan Martin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732
Phone: 803-329-5131    
Dr. Jeana Donahue, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732
Phone: 803-329-1234    
Brian Phillip Williams, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732
Phone: 803-329-5131    
William Jackson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732
Phone: 803-329-5131    

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.